Basic Information
| Provider Information | |||||||||
| NPI: | 1861818403 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LARKIN COMMUNITY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16320 S POST RD | ||||||||
| Address2: | APT 301 | ||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313553 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7031 SW 62ND AVE | ||||||||
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| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331434701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052847500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2014 | ||||||||
| LastUpdateDate: | 03/06/2014 | ||||||||
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| AuthorizedOfficialLastName: | COMPAS | ||||||||
| AuthorizedOfficialFirstName: | JEFFREY | ||||||||
| AuthorizedOfficialMiddleName: | GABRIEL | ||||||||
| AuthorizedOfficialTitleorPosition: | PGY-2 PM&R RESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5163049129 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | U03398 | FL | Y | Hospitals | General Acute Care Hospital |
No ID Information.