Healthcare Provider Details
I. General information
NPI: 1730562398
Provider Name (Legal Business Name): RESEARCH INSTITUTE OF SOUTH FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9835 SW 72ND ST SUITE 201
MIAMI FL
33173-4670
US
IV. Provider business mailing address
9835 SW 72ND ST SUITE 201
MIAMI FL
33173-4670
US
V. Phone/Fax
- Phone: 305-279-3545
- Fax: 305-279-3554
- Phone: 305-279-3545
- Fax: 305-279-3554
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1100X |
| Taxonomy | Research Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARTHA
ALVARENGA
Title or Position: PRESIDENT
Credential:
Phone: 305-279-3545