Healthcare Provider Details

I. General information

NPI: 1144068875
Provider Name (Legal Business Name): KLASS INJURY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NE 125TH ST STE 200
NORTH MIAMI FL
33161-5745
US

IV. Provider business mailing address

900 NE 125TH ST STE 200
NORTH MIAMI FL
33161-5745
US

V. Phone/Fax

Practice location:
  • Phone: 561-502-3867
  • Fax:
Mailing address:
  • Phone: 786-567-9894
  • Fax: 786-567-9754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WINSA CHARLES
Title or Position: OWNER
Credential:
Phone: 908-803-6363