Organization
PAUL T FASS M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL T FASS M.D. (DIRECTOR)
(305) 933-9953
Entity
Organization
Contact information
Practice address
2999 NE 191ST ST, SUITE 230, AVENTURA, FL 33180-3123
(305) 933-9953
Mailing address
PO BOX 729, HALLANDALE, FL 33008-0729
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME15036
FL
Other
Enumeration date
02/21/2006
Last updated
03/17/2011
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