Healthcare Provider Details

I. General information

NPI: 1093453953
Provider Name (Legal Business Name): ADM THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2022
Last Update Date: 05/21/2022
Certification Date: 05/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11844 SW 100TH ST
MIAMI FL
33186-2730
US

IV. Provider business mailing address

11844 SW 100TH ST
MIAMI FL
33186-2730
US

V. Phone/Fax

Practice location:
  • Phone: 786-424-6578
  • Fax:
Mailing address:
  • Phone: 786-424-6578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA CRISTINA DELGADO
Title or Position: PRESIDENT
Credential:
Phone: 786-424-6578