Healthcare Provider Details

I. General information

NPI: 1588838395
Provider Name (Legal Business Name): JFK DIAGNOSTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5663 CORAL GATE BLVD
MARGATE FL
33063-1531
US

IV. Provider business mailing address

5663 CORAL GATE BLVD
MARGATE FL
33063-1531
US

V. Phone/Fax

Practice location:
  • Phone: 954-974-3456
  • Fax: 954-974-3568
Mailing address:
  • Phone: 954-974-3456
  • Fax: 954-974-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCIA CHRISTINA SASSO
Title or Position: PRESIDENT
Credential: D.C.
Phone: 954-974-3456