Healthcare Provider Details

I. General information

NPI: 1700095718
Provider Name (Legal Business Name): INJURY INSTITUTE OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 NE MIAMI GARDENS DR SUITE 140
NORTH MIAMI BEACH FL
33179-4707
US

IV. Provider business mailing address

1380 NE MIAMI GARDENS DR STE 140
NORTH MIAMI BEACH FL
33179-4707
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-5162
  • Fax: 305-949-5164
Mailing address:
  • Phone: 305-949-5162
  • Fax: 305-949-5164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberME15876
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberME15876
License Number StateFL

VIII. Authorized Official

Name: ANDREW G FRANK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-949-5162