Provider Demographics
NPI:1730522145
Name:BISHOP, IAN JOSEPH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:JOSEPH
Last Name:BISHOP
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1321 NW 14TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1653
Mailing Address - Country:US
Mailing Address - Phone:305-243-4690
Mailing Address - Fax:305-324-6970
Practice Address - Street 1:1321 NW 14TH ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1653
Practice Address - Country:US
Practice Address - Phone:305-243-4690
Practice Address - Fax:305-324-6970
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME141935207V00000X, 207V00000X, 207VC0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VC0300XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyComplex Family Planning
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology