Provider Demographics
NPI:1215632419
Name:MIAMI FERTILITY
Entity type:Organization
Organization Name:MIAMI FERTILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF INTEGRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAYME
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-560-7729
Mailing Address - Street 1:550 BALTIMORE WAY, PH3A
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:305-800-2229
Mailing Address - Fax:
Practice Address - Street 1:550 BALTIMORE WAY, PH3A
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:305-800-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty