| Organization Name: | ANA LUISA T-Y SAFRA MD, LLC |
| NPI Number: | 1053485391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANA L SAFRA (OWNER) |
| Mailing Address: | 13005 Southern Blvd Suite 225 Loxahatchee |
| State: | FL US |
| Postal Code: | 334709206 |
| Phone Number: | 5613134884 |
| Fax Number: | 5617847202 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |