Provider Demographics
NPI:1801360995
Name:PROJECT ACCESS FOUNDATION INC
Entity type:Organization
Organization Name:PROJECT ACCESS FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:CUKRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-993-0422
Mailing Address - Street 1:1435 W 49TH PL STE 503
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3158
Mailing Address - Country:US
Mailing Address - Phone:305-787-3267
Mailing Address - Fax:786-953-5323
Practice Address - Street 1:3661 S MIAMI AVE STE 702
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4223
Practice Address - Country:US
Practice Address - Phone:786-636-6187
Practice Address - Fax:305-603-8174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty