Basic Information
| Provider Information | |||||||||
| NPI: | 1649752296 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ASSOCIATESMD BILLING & MANAGEMENT, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4780 SW 64TH AVE STE 103 | ||||||||
| Address2: | |||||||||
| City: | DAVIE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333144400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544341705 | ||||||||
| FaxNumber: | 8552892645 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 S PINE ISLAND RD STE 104 | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544744401 | ||||||||
| FaxNumber: | 9544749883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2018 | ||||||||
| LastUpdateDate: | 08/30/2018 | ||||||||
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| AuthorizedOfficialLastName: | GADH | ||||||||
| AuthorizedOfficialFirstName: | RUNDEEP | ||||||||
| AuthorizedOfficialMiddleName: | SINGH | ||||||||
| AuthorizedOfficialTitleorPosition: | MGR | ||||||||
| AuthorizedOfficialTelephone: | 9544744401 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.