Healthcare Provider Details

I. General information

NPI: 1730057647
Provider Name (Legal Business Name): UNITED CEREBRAL PALSY ASSOCIATION OF MIAMI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 NW 14TH AVE
MIAMI FL
33125-1616
US

IV. Provider business mailing address

1411 NW 14TH AVE
MIAMI FL
33125-1616
US

V. Phone/Fax

Practice location:
  • Phone: 305-728-1551
  • Fax: 305-728-1551
Mailing address:
  • Phone: 305-728-1551
  • Fax: 305-728-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAREN KNOBLOCK
Title or Position: COORDINATOR OF PROGRAM SUPPORTS
Credential:
Phone: 305-728-1551