Healthcare Provider Details

I. General information

NPI: 1811629157
Provider Name (Legal Business Name): CENTURY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 06/27/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 BISCAYNE BLVD STE 219
MIAMI FL
33137-5029
US

IV. Provider business mailing address

2125 BISCAYNE BLVD STE 219
MIAMI FL
33137-5029
US

V. Phone/Fax

Practice location:
  • Phone: 786-788-0244
  • Fax:
Mailing address:
  • Phone: 786-788-0244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. RAOUL TOSHIRO ZIALCITA
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 786-775-1193