Healthcare Provider Details

I. General information

NPI: 1952983314
Provider Name (Legal Business Name): CIMA COMMUNITY REHABILITATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14750 NW 77TH CT
MIAMI LAKES FL
33016-1510
US

IV. Provider business mailing address

14750 NW 77TH CT
MIAMI LAKES FL
33016-1510
US

V. Phone/Fax

Practice location:
  • Phone: 786-256-8990
  • Fax:
Mailing address:
  • Phone: 786-256-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAYAMI CAPIRO
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-256-8990