Provider Demographics
NPI:1144870049
Name:HIALEAH ACCIDENT CENTER, INC.
Entity type:Organization
Organization Name:HIALEAH ACCIDENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PDST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUSMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-502-4945
Mailing Address - Street 1:777 E 25TH ST STE 306
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3849
Mailing Address - Country:US
Mailing Address - Phone:786-502-4945
Mailing Address - Fax:786-558-7451
Practice Address - Street 1:777 E 25TH ST STE 306
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3849
Practice Address - Country:US
Practice Address - Phone:786-502-4945
Practice Address - Fax:786-558-7451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service