Healthcare Provider Details

I. General information

NPI: 1952141236
Provider Name (Legal Business Name): MUSIC KEYS ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2024
Last Update Date: 05/25/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10245 SW 24TH ST APT D364
MIAMI FL
33165-2572
US

IV. Provider business mailing address

10245 SW 24TH ST APT D364
MIAMI FL
33165-2572
US

V. Phone/Fax

Practice location:
  • Phone: 786-602-8657
  • Fax:
Mailing address:
  • Phone: 786-602-8657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIGUEL ANGEL DE ARMAS CAPOTE
Title or Position: MGR
Credential:
Phone: 786-602-8657