Organization
MOUNT SINAI INTENSIVISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE CHUTKAN (SENIOR VP FINANCE)
(305) 674-2662
Entity
Organization
Contact information
Practice address
4300 ALTON ROAD, MIAMI BEACH, FL 33140-2800
(305) 674-2121
(305) 525-7919
Mailing address
PO BOX 19186, MIAMI, FL 33101-9186
(305) 674-2222
(305) 674-2007
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
09/22/2021
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