Provider Demographics
NPI:1194153890
Name:HOUSECALL DOCTORS OF FLORIDA, INC
Entity type:Organization
Organization Name:HOUSECALL DOCTORS OF FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DA ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-200-1938
Mailing Address - Street 1:4355 W 16TH AVE
Mailing Address - Street 2:208
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7666
Mailing Address - Country:US
Mailing Address - Phone:954-200-1968
Mailing Address - Fax:
Practice Address - Street 1:4355 W 16TH AVE
Practice Address - Street 2:208
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7666
Practice Address - Country:US
Practice Address - Phone:954-200-1968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty