Basic Information
| Provider Information | |||||||||
| NPI: | 1730465352 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANN BATES LEACH HOSPITAL/BASCOM PALMER EYE INSTITUTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 901 NW 17TH ST | ||||||||
| Address2: | SUITE 10A | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3053266000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 901 NW 17TH ST | ||||||||
| Address2: | SUITE 10A | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3053266000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2011 | ||||||||
| LastUpdateDate: | 10/27/2011 | ||||||||
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| AuthorizedOfficialLastName: | OWENS | ||||||||
| AuthorizedOfficialFirstName: | PATRICK | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF, DIVISION OF HAND SURGERY | ||||||||
| AuthorizedOfficialTelephone: | 3053266590 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | THE UNIVERSITY OF MIAMI HEALTH SYSTEM | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 284300000X | 9256543 | FL | Y | Hospitals | Special Hospital |
No ID Information.