Healthcare Provider Details

I. General information

NPI: 1932635018
Provider Name (Legal Business Name): SOUTH FLORIDA RESTORE MOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 04/23/2020
Certification Date: 04/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7760 W 20TH AVE SUITE 12
HIALEAH FL
33016-1890
US

IV. Provider business mailing address

7760 W 20TH AVE SUITE 12
HIALEAH FL
33016-1890
US

V. Phone/Fax

Practice location:
  • Phone: 877-754-5240
  • Fax: 786-610-1898
Mailing address:
  • Phone: 786-718-0531
  • Fax: 786-610-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number1314235
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1314235
License Number StateFL

VIII. Authorized Official

Name: DR. EMILIANO CURIA
Title or Position: OWNER/DIRECTOR
Credential: M.D.
Phone: 877-754-5240