Organization
GULF COAST FAMILY PSYCHIATRY PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAFIR AZAM MD (CEO)
(305) 434-2148
Entity
Organization
Contact information
Practice address
960 W 41ST ST, SUITE 106, MIAMI, FL 33140-3326
(305) 434-2148
(786) 292-0091
Mailing address
960 W 41ST ST, SUITE 106, MIAMI, FL 33140-3326
(305) 434-2148
(786) 292-0091
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME102409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049G
BCBS
FL
Enumeration date
03/27/2013
Last updated
08/06/2013
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