Healthcare Provider Details
I. General information
NPI: 1003816448
Provider Name (Legal Business Name): M.O.V.E.R.S.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
714 - 716 NW 62ND STREET
MIAMI FL
33147
US
IV. Provider business mailing address
7186 NW 14TH PL
MIAMI FL
33147-7042
US
V. Phone/Fax
- Phone: 305-754-2268
- Fax: 305-754-2668
- Phone: 305-693-8033
- Fax: 305-693-8043
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
WILLIAM
PERRY
Title or Position: CHAIRPERSON
Credential: M.D.
Phone: 305-693-8033