Healthcare Provider Details

I. General information

NPI: 1457319675
Provider Name (Legal Business Name): DR. HARIKLIA RULA GIOSMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: H. RULA GIOSMAS D.O.M.

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 LINCOLN RD #201
MIAMI BEACH FL
33139-2365
US

IV. Provider business mailing address

275 NORTHEAST 18 ST. #1402
MIAMI FL
33132
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-8092
  • Fax:
Mailing address:
  • Phone: 305-532-8092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 633
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: