Provider Demographics
NPI:1154181881
Name:ATRIA PHYSICIAN PRACTICE FLORIDA PA
Entity type:Organization
Organization Name:ATRIA PHYSICIAN PRACTICE FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DODICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-600-2000
Mailing Address - Street 1:50 COCOANUT ROW STE 100
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-4027
Mailing Address - Country:US
Mailing Address - Phone:212-600-2000
Mailing Address - Fax:212-540-0855
Practice Address - Street 1:50 COCOANUT ROW STE 100
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-4027
Practice Address - Country:US
Practice Address - Phone:212-600-2000
Practice Address - Fax:212-540-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty