Organization
PHYSICIANS CREEK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM M AU DO. MD. PHD. FACOI (CEO)
(305) 720-4004
Entity
Organization
Contact information
Practice address
2040 NE 163RD ST STE 204, NORTH MIAMI BEACH, FL 33162-4953
(305) 720-4004
Mailing address
2040 NE 163RD ST STE 204, NORTH MIAMI BEACH, FL 33162-4953
(305) 720-4004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS 11940
FL
207RC0000X
Cardiovascular Disease Physician
OS 11940
FL
208D00000X
General Practice Physician
Primary
OS 11940
FL
208M00000X
Hospitalist Physician
OS 11940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100892400
—
FL
Enumeration date
02/20/2015
Last updated
07/28/2020
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