Healthcare Provider Details

I. General information

NPI: 1730522103
Provider Name (Legal Business Name): HEALTH SOLUTION OF SOUTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 NW 12TH AVE
MIAMI FL
33136-3609
US

IV. Provider business mailing address

619 NW 12TH AVE
MIAMI FL
33136-3609
US

V. Phone/Fax

Practice location:
  • Phone: 305-821-5119
  • Fax:
Mailing address:
  • Phone: 305-821-5119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DENNIS NOBBE
Title or Position: MANAGER
Credential:
Phone: 305-821-5119