Healthcare Provider Details

I. General information

NPI: 1811185622
Provider Name (Legal Business Name): ASSOCIATES IN ADVANCED THERAPEUTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 W DIXIE HWY SUITE # 5
MIAMI FL
33161-6110
US

IV. Provider business mailing address

PO BOX 8843
FT LAUDERDALE FL
33310-8843
US

V. Phone/Fax

Practice location:
  • Phone: 305-688-4855
  • Fax:
Mailing address:
  • Phone: 954-321-9804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMM 19285
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number19285
License Number StateFL

VIII. Authorized Official

Name: MR. ARDEN GRIFFITHS
Title or Position: DIRECTOR OF REHAB
Credential: LMT, PI
Phone: 943-321-9804