| Dr Adam Michael De Fazio, MD | |
|
3400 Coral Way Ste 500, Miami, FL 33145-3053 | |
| (305) 603-8684 | |
| Not Available |
| Full Name | Dr Adam Michael De Fazio |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 10 Years |
| Location | 3400 Coral Way Ste 500, Miami, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366839573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 144122 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital | Coral gables, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modern Urology Group, Llc | 2264829837 | 2 |
| Entity Name | Modern Urology Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437806197 PECOS PAC ID: 2264829837 Enrollment ID: O20220428002503 |
| Entity Name | Premium Healthcare Holdings, Lllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518587203 PECOS PAC ID: 7315320207 Enrollment ID: O20220809004021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adam Michael De Fazio, MD 3400 Coral Way Ste 500, Miami, FL 33145-3053 Ph: (305) 603-8684 | Dr Adam Michael De Fazio, MD 3400 Coral Way Ste 500, Miami, FL 33145-3053 Ph: (305) 603-8684 |
Yekutiel Sandman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7600 Sw 87th Ave, Suite 206, Miami, FL 33173 Phone: 305-275-5525 Fax: 305-275-0662 | |
Miguel Alfredo Castellan, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3200 Sw 60th Ct Ste 104, Miami, FL 33155 Phone: 305-669-6448 Fax: 305-663-8485 | |
Dr. Norman L Block, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Box 016960 (m851), Miami, FL 33136 Phone: 305-243-6391 Fax: 305-243-8470 | |
Puneet Masson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1150 Nw 14th St Ste 309, Miami, FL 33136 Phone: 305-243-6090 Fax: 305-243-6597 | |
Leon Francisco Hirzel Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 330 Sw 27th Ave, Suite 503, Miami, FL 33135 Phone: 305-642-1401 Fax: 305-642-1403 | |
Francis Francesco Petrella, MD Urology Medicare: Medicare Enrolled Practice Location: 1120 Nw 14th St Ste 1551, Miami, FL 33136 Phone: 305-243-6260 | |
Andrew S Labbie, MD Urology Medicare: Medicare Enrolled Practice Location: 3200 Sw 60th Ct Ste 104, Miami, FL 33155 Phone: 305-669-6448 Fax: 305-663-8485 |