Healthcare Provider Details

I. General information

NPI: 1952512089
Provider Name (Legal Business Name): CATHERINE ATTIAS AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 LINCOLN RD #102
MIAMI BEACH FL
33139-2879
US

IV. Provider business mailing address

60 SHORE DR W
MIAMI FL
33133-2620
US

V. Phone/Fax

Practice location:
  • Phone: 305-538-5448
  • Fax:
Mailing address:
  • Phone: 305-986-9991
  • Fax: 305-856-4484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP-1925
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: