| Organization Name: | MEDSERVE OF DADE COUNTY |
| NPI Number: | 1003008129 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACOB VAKS (OWNER) |
| Mailing Address: | 15328 Nw 7th Ave Miami |
| State: | FL US |
| Postal Code: | 33169 |
| Phone Number: | 7862350103 |
| Fax Number: | 3056815620 |
| NPI Enumeration Date: | 08/13/2007 |
| NPI Last Update Date: | 08/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME 77467 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |