# PHYSICIANS CREEK INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700278298
- **Authorized official:** DR. ADAM M AU DO. MD. PHD. FACOI (CEO)
- **Authorized official phone:** (305) 720-4004

## Contact information

- **Practice address:** 2040 NE 163RD ST STE 204, NORTH MIAMI BEACH, FL 33162-4953
- **Practice address phone:** (305) 720-4004
- **Mailing address:** 2040 NE 163RD ST STE 204, NORTH MIAMI BEACH, FL 33162-4953
- **Mailing address phone:** (305) 720-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | OS 11940 | FL | — |
| 207RC0000X | Cardiovascular Disease Physician | OS 11940 | FL | — |
| 208D00000X | General Practice Physician | OS 11940 | FL | Yes |
| 208M00000X | Hospitalist Physician | OS 11940 | FL | — |

## Other

- **Enumeration date:** 02/20/2015
- **Last updated:** 07/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100892400 | — | FL |