Organization Name: | MARIA J HACHE, MD PA |
NPI Number: | 1255611026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA J. HACHE (PRESIDENT) |
Mailing Address: | 7000 Sw 62nd Ave Ste 300 South Miami |
State: | FL US |
Postal Code: | 331434716 |
Phone Number: | 3054557437 |
Fax Number: | 3054557435 |
NPI Enumeration Date: | 08/24/2011 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |