Healthcare Provider Details

I. General information

NPI: 1205962867
Provider Name (Legal Business Name): FLORIDA HEALTHCARE NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8585 SUNSET DR SUITE 103
MIAMI FL
33143-3746
US

IV. Provider business mailing address

7860 SW 129TH TER
PINECREST FL
33156-6154
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-3311
  • Fax: 305-274-1411
Mailing address:
  • Phone: 305-274-3311
  • Fax: 305-274-1411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEX PEREDA
Title or Position: PRESIDENT PHYSICAL THERAPIST
Credential: P.T.
Phone: 305-274-3311