Organization
PEYSAF WORTHALTER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEYSAF WORTHALTER M.D. (PRESIDENT)
(305) 654-0907
Entity
Organization
Contact information
Practice address
20824 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 654-0907
(305) 999-0011
Mailing address
20824 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 654-0907
(305) 999-0011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96159
BCBS
FL
Enumeration date
05/14/2007
Last updated
09/10/2007
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