Provider Demographics
NPI:1730285768
Name:JOSEFINA F TUR MD PA
Entity type:Organization
Organization Name:JOSEFINA F TUR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEFINA
Authorized Official - Middle Name:FABIOLA
Authorized Official - Last Name:TUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-642-7111
Mailing Address - Street 1:4100 NW 9TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3678
Mailing Address - Country:US
Mailing Address - Phone:305-642-7111
Mailing Address - Fax:305-642-0530
Practice Address - Street 1:4100 NW 9TH ST
Practice Address - Street 2:STE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3678
Practice Address - Country:US
Practice Address - Phone:305-642-7111
Practice Address - Fax:305-642-0530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-0066611208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25576OtherBLUECROSS BLUESHIELD PROV
FL375607600Medicaid
FL375607600Medicaid
FLF94822Medicare UPIN
FLK6354AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER