Healthcare Provider Details

I. General information

NPI: 1346626512
Provider Name (Legal Business Name): FIRST HAND HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 11/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20295 NW 2ND AVE STE 205
MIAMI GARDENS FL
33169-2550
US

IV. Provider business mailing address

20295 NW 2ND AVE STE 205
MIAMI GARDENS FL
33169-2550
US

V. Phone/Fax

Practice location:
  • Phone: 305-705-4668
  • Fax: 305-705-4750
Mailing address:
  • Phone: 305-705-4668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: LOURDES DESAMOURS
Title or Position: ADMINISTRATOR
Credential: RRT
Phone: 305-705-4668