Provider Demographics
NPI: | 1689998270 |
---|---|
Name: | BARTZOKIS RUBENSTEIN SERVOSS MD PL |
Entity type: | Organization |
Organization Name: | BARTZOKIS RUBENSTEIN SERVOSS MD PL |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | THOMAS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BARTZOKIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 561-368-4444 |
Mailing Address - Street 1: | 1000 NW 9TH CT |
Mailing Address - Street 2: | SUITE 101 |
Mailing Address - City: | BOCA RATON |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33486-2268 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-368-4444 |
Mailing Address - Fax: | 561-750-8368 |
Practice Address - Street 1: | 1000 NW 9TH CT |
Practice Address - Street 2: | SUITE 101 |
Practice Address - City: | BOCA RATON |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33486-2268 |
Practice Address - Country: | US |
Practice Address - Phone: | 561-368-4444 |
Practice Address - Fax: | 561-750-8368 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-03-25 |
Last Update Date: | 2010-03-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Single Specialty |