Basic Information
| Provider Information | |||||||||
| NPI: | 1548266331 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOSPITALISTS OF AMERICA LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2121 PONCE DE LEON BLVD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054474150 | ||||||||
| FaxNumber: | 3054460706 | ||||||||
| Practice Location | |||||||||
| Address1: | 2121 PONCE DE LEON BLVD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054474150 | ||||||||
| FaxNumber: | 3054460706 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2005 | ||||||||
| LastUpdateDate: | 07/23/2007 | ||||||||
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| AuthorizedOfficialLastName: | KNOWLES | ||||||||
| AuthorizedOfficialFirstName: | LEE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 3054474150 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | ME44233 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.