Healthcare Provider Details
I. General information
NPI: 1043564107
Provider Name (Legal Business Name): NATIONAL HYPERBARIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2012
Last Update Date: 11/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1308 N STATE ROAD 7 A /B
MARGATE FL
33063-2800
US
IV. Provider business mailing address
1308 N STATE ROAD 7 A /B
MARGATE FL
33063-2800
US
V. Phone/Fax
- Phone: 954-975-3563
- Fax: 954-975-0338
- Phone: 954-975-3563
- Fax: 954-975-0338
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFFREY
NEILL
WEISS
Title or Position: PRESIDENT
Credential: MD
Phone: 954-975-0044