Healthcare Provider Details

I. General information

NPI: 1063470979
Provider Name (Legal Business Name): PALMETTO COMPREHENSIVE HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 SW 1ST ST
MIAMI FL
33135-2301
US

IV. Provider business mailing address

1313 SW 1ST ST
MIAMI FL
33135-2301
US

V. Phone/Fax

Practice location:
  • Phone: 305-541-8448
  • Fax: 305-541-8565
Mailing address:
  • Phone: 305-541-8448
  • Fax: 305-541-8565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MS. ENIMISIS TORRES
Title or Position: PRESIDENT
Credential:
Phone: 305-541-8448