Provider Demographics
NPI:1548371115
Name:HOUSECALL DOCTORS OF SOUTH FLORIDA
Entity type:Organization
Organization Name:HOUSECALL DOCTORS OF SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-255-5106
Mailing Address - Street 1:13375 SW 128TH ST STE 109A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6288
Mailing Address - Country:US
Mailing Address - Phone:305-255-5106
Mailing Address - Fax:305-255-5330
Practice Address - Street 1:13375 SW 128TH ST STE 109A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6288
Practice Address - Country:US
Practice Address - Phone:305-255-5106
Practice Address - Fax:305-255-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84789207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265646900Medicaid
FL265646900Medicaid