Healthcare Provider Details

I. General information

NPI: 1639477904
Provider Name (Legal Business Name): ANGEL HEALTH & THERAPY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2011
Last Update Date: 03/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 SW 8TH ST STE 119
CORAL GABLES FL
33134-2300
US

IV. Provider business mailing address

5200 SW 8TH ST STE 119
CORAL GABLES FL
33134-2300
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-8164
  • Fax: 786-953-8184
Mailing address:
  • Phone: 786-953-8164
  • Fax: 786-953-8184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MIRIAM SELLES
Title or Position: PRESIDENT
Credential:
Phone: 786-953-8164