Healthcare Provider Details

I. General information

NPI: 1447796081
Provider Name (Legal Business Name): MY 4 RULES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2017
Last Update Date: 01/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 NE 125TH ST STE 202
NORTH MIAMI FL
33161-5858
US

IV. Provider business mailing address

1005 NE 125TH ST STE 202
NORTH MIAMI FL
33161-5858
US

V. Phone/Fax

Practice location:
  • Phone: 305-503-5102
  • Fax:
Mailing address:
  • Phone: 305-503-5102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberME108751
License Number StateFL

VIII. Authorized Official

Name: JESUS REMON
Title or Position: PRESIDENT
Credential:
Phone: 305-934-5920