Basic Information
Provider Information
NPI: 1144890245
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PYLE
FirstName: JAMES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1309 SW 151ST TER
Address2:  
City: SUNRISE
State: FL
PostalCode: 333261931
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8900 N KENDALL DR
Address2:  
City: MIAMI
State: FL
PostalCode: 331762118
CountryCode: US
TelephoneNumber: 7865961960
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/30/2021
LastUpdateDate: 02/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XAPRN11018126FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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