Organization
PROFESSIONAL HEALTHCARE ASSOCIATES LLC
Active
Other names
INTENSIVE CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD STEVEN PRAGER MD (MANAGING PARTNER)
(305) 322-4116
Entity
Organization
Contact information
Practice address
8950 SW 57TH AVE, PINECREST, FL 33156-2133
(305) 322-4116
(305) 666-2252
Mailing address
8950 SW 57TH AVE, PINECREST, FL 33156-2133
(305) 322-4116
(305) 666-2252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME45897
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME45897
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME45897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372492100
—
FL
Enumeration date
02/07/2008
Last updated
10/21/2014
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