Healthcare Provider Details

I. General information

NPI: 1033739834
Provider Name (Legal Business Name): IPLACEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2965 NE 185TH ST APT 1513
AVENTURA FL
33180-2936
US

IV. Provider business mailing address

2965 NE 185TH ST APT 1513
AVENTURA FL
33180-2936
US

V. Phone/Fax

Practice location:
  • Phone: 786-306-7361
  • Fax: 888-253-1478
Mailing address:
  • Phone: 786-306-7361
  • Fax: 888-253-1478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: LISA SPENCER
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-306-7361