Organization · Type 2 NPI

Peach State Medical Practice, PC

Reproductive Endocrinology Physician · Miami, FL

NPI number 1891471280 Active

Practice location

3141 NE 1st Ave
Miami, FL 33137

Call (305) 735-2307 Map

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician	207V00000X	None listed
Reproductive Endocrinology Physician Primary	207VE0102X	None listed

Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

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NPI record

NPI: 1891471280
Entity type: Organization (Type 2)
Issued: Jun 22, 2023
Last updated: May 20, 2024
Status: Active

Other names

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Kindbody of FL Medical Practice · doing business as
Kindbody of FL Medical Practice · doing business as

Authorized official

Fahimeh Sasan, DO
Founding Obgyn
(855) 563-2639

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891471280

Peach State Medical Practice, PC's National Provider Identifier is 1891471280, issued on Jun 22, 2023. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Miami, FL. The record was last updated on May 20, 2024.