Healthcare Provider Details

I. General information

NPI: 1538352521
Provider Name (Legal Business Name): NORTH MIAMI THERAPY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13140-42 W. DIXIE HWY
NORTH MIAMI FL
33161-4131
US

IV. Provider business mailing address

13140 42 W DIXIE HWY
NORTH MIAMI FL
33161-4131
US

V. Phone/Fax

Practice location:
  • Phone: 305-981-1570
  • Fax: 305-981-1571
Mailing address:
  • Phone: 305-981-1570
  • Fax: 305-981-1571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License NumberME85072
License Number StateFL

VIII. Authorized Official

Name: MR. CLAUDE JULES
Title or Position: PRESIDENT
Credential:
Phone: 305-981-1570