MEDICARE: HYPERBARIC THERAPY CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1790940278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYPERBARIC THERAPY CENTER, INC

Provider Business Mailing Address
First Line	:	4211 NW 2ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-5420
Country	:	US
Telephone Number	:	305-533-0222
Fax Number	:	305-447-3855

Provider Business Practice Location Address
First Line	:	4211 NW 2ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-5420
Country	:	US
Telephone Number	:	305-533-0222
Fax Number	:	305-447-3855

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CIRA OLMO
Credential	:
Telephone Number	:	305-533-0222

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	11/03/2008

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