Delores Macksoud Md Pa

LBN: Delores Macksoud Md Pa
Delores Macksoud Md Pa is an health care organization with primary practice located at 12001 Sw 128Th Ct Suite 205, Miami FL 33186-4664. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Delores Macksoud Md Pa can be contacted via phone (305) 251-1373, or through Macksoud, Delores via phone (305) 251-1373.

Contact Information

Primary practice address
12001 Sw 128Th Ct Suite 205 Miami FL 33186-4664
Phone: (305) 251-1373
Fax: (305) 252-6790
Website:
Map and Directions
Authorized official contact:
Name: Macksoud, Delores M.D. PA
Phone: (305) 251-1373

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0051716 Florida

Profile Details

NPI number 1629104351
LBN Legal business name Delores Macksoud Md Pa
DBA Doing business as
Authorized official Macksoud, Delores M.D. PA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629104351 NPPES
Florida MEDICAID 049326100

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