Healthcare Provider Details

I. General information

NPI: 1417508813
Provider Name (Legal Business Name): DEENA CILIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13397 SW 131ST ST
MIAMI FL
33186-5816
US

IV. Provider business mailing address

7410 MIRAMAR BLVD
MIRAMAR FL
33023-4775
US

V. Phone/Fax

Practice location:
  • Phone: 954-816-6309
  • Fax:
Mailing address:
  • Phone: 954-816-6309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: