Healthcare Provider Details

I. General information

NPI: 1861996985
Provider Name (Legal Business Name): FLOR M URBINA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 03/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 SW 1ST ST
MIAMI FL
33135-2261
US

IV. Provider business mailing address

15884 SW 61ST ST
MIAMI FL
33193-3692
US

V. Phone/Fax

Practice location:
  • Phone: 305-400-8998
  • Fax: 786-360-1296
Mailing address:
  • Phone: 818-747-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: