Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME 26813 | FL |
NPI | 1063442929 |
---|---|
Provider Name | Moshe Ashkenazi |
First Address | Hollywood, FL 33019-1637 |
Second Address | Pembroke Pines, FL 33024-3617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 16/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1028889 | CAREPLUS HMO (01) | FL |
253693500 | (05) | FL |
2887672 | AETNA HMO (01) | FL |
93307 | BLUE CROSS & BLUE SHIELD (01) | FL |
D60422 | (02) | FL |
P00171715 | PALMETTO MEDICARE (01) | FL |