Healthcare Provider Details

I. General information

NPI: 1982713897
Provider Name (Legal Business Name): BIO NETWORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 SW 1ST STREET
MIAMI FL
33135-2202
US

IV. Provider business mailing address

1441 SW 1ST STREET
MIAMI FL
33135-2202
US

V. Phone/Fax

Practice location:
  • Phone: 305-541-3400
  • Fax: 305-541-3344
Mailing address:
  • Phone: 305-541-3400
  • Fax: 305-541-3344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA5277
License Number StateFL

VIII. Authorized Official

Name: JOALY TOJEIRO
Title or Position: PRESIDENT
Credential:
Phone: 305-541-3400