Provider Demographics
NPI:1871167205
Name:HAWAII INFECTIOUS DISEASE ASSOCIATES LLC
Entity type:Organization
Organization Name:HAWAII INFECTIOUS DISEASE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-228-5436
Mailing Address - Street 1:PO BOX 37056
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96837-0056
Mailing Address - Country:US
Mailing Address - Phone:808-228-5436
Mailing Address - Fax:
Practice Address - Street 1:500 ALA MOANA BLVD STE 5-300
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4908
Practice Address - Country:US
Practice Address - Phone:808-531-7111
Practice Address - Fax:808-528-5507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty