Healthcare Provider Details

I. General information

NPI: 1508784679
Provider Name (Legal Business Name): XPERT INJURY CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4995 NW 72ND AVE STE 410
MIAMI FL
33166-5643
US

IV. Provider business mailing address

4995 NW 72ND AVE STE 410
MIAMI FL
33166-5643
US

V. Phone/Fax

Practice location:
  • Phone: 786-773-5420
  • Fax: 786-773-5846
Mailing address:
  • Phone: 786-773-5420
  • Fax: 786-773-5846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO ERNESTO PEREZ SUAREZ
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-773-5420