Healthcare Provider Details

I. General information

NPI: 1851378913
Provider Name (Legal Business Name): CENTRAL THERAPY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2742 SW 8TH ST SUITE 207
MIAMI FL
33135-4650
US

IV. Provider business mailing address

2742 SW 8TH ST SUITE 207
MIAMI FL
33135-4650
US

V. Phone/Fax

Practice location:
  • Phone: 305-643-4122
  • Fax: 305-643-4123
Mailing address:
  • Phone: 305-643-4122
  • Fax: 305-643-4123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberHCC4626
License Number StateFL

VIII. Authorized Official

Name: MR. CARLOS SANCHEZ
Title or Position: OWNER
Credential:
Phone: 786-306-8791