Healthcare Provider Details

I. General information

NPI: 1114888450
Provider Name (Legal Business Name): MAIDIQUE THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12955 BISCAYNE BLVD STE 410C-3
NORTH MIAMI FL
33181-2037
US

IV. Provider business mailing address

12955 BISCAYNE BLVD STE 410C-3
NORTH MIAMI FL
33181-2037
US

V. Phone/Fax

Practice location:
  • Phone: 786-290-0854
  • Fax:
Mailing address:
  • Phone: 786-290-0854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: HELEN MAIDIQUE
Title or Position: OWNER
Credential: BS
Phone: 786-290-0854