Healthcare Provider Details

I. General information

NPI: 1265354286
Provider Name (Legal Business Name): SNAPCRACK BRICKELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 BRICKELL PLZ
MIAMI FL
33131-3051
US

IV. Provider business mailing address

1055 BRICKELL PLZ
MIAMI FL
33131-3051
US

V. Phone/Fax

Practice location:
  • Phone: 941-628-3929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH AMODIO
Title or Position: OWNER
Credential:
Phone: 941-628-3929