Healthcare Provider Details

I. General information

NPI: 1699789958
Provider Name (Legal Business Name): D AND A THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4995 NW 72ND AVE
MIAMI FL
33166-5643
US

IV. Provider business mailing address

4995 NW 72ND AVE
MIAMI FL
33166-5643
US

V. Phone/Fax

Practice location:
  • Phone: 305-468-1927
  • Fax: 305-468-1928
Mailing address:
  • Phone: 305-468-1927
  • Fax: 305-468-1928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: ADLIG ZAMORA
Title or Position: PRESIDENT
Credential:
Phone: 305-468-1927