| Gulf Coast Family Psychiatry Professional Association | |
|
960 W 41st St Suite 106 Miami FL 33140-3326 | |
| (305) 434-2148 | |
| (786) 292-0091 |
| Full Name | Gulf Coast Family Psychiatry Professional Association |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 960 W 41st St, Miami, Florida |
| Authorized Official Name and Position | Safir Azam (CEO) |
| Authorized Official Contact | 3054342148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Family Psychiatry Professional Association 960 W 41st St Suite 106 Miami FL 33140-3326 Ph: (305) 434-2148 | Gulf Coast Family Psychiatry Professional Association 960 W 41st St Suite 106 Miami FL 33140-3326 Ph: (305) 434-2148 |
| NPI Number | 1851634901 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 08/06/2013 |
| Medicare PECOS PAC ID | 6305088204 |
|---|---|
| Medicare Enrollment ID | O20130806000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851634901 | NPI | - | NPPES |
| 0049G | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME102409 (Florida) | Primary |
| Provider Name | Safir Azam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457503302 PECOS PAC ID: 0941350052 Enrollment ID: I20100812000541 |
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