Healthcare Provider Details

I. General information

NPI: 1013046291
Provider Name (Legal Business Name): I T HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 NE 126TH ST
NORTH MIAMI FL
33161-4906
US

IV. Provider business mailing address

820 NE 126TH ST
NORTH MIAMI FL
33161-4906
US

V. Phone/Fax

Practice location:
  • Phone: 305-887-9335
  • Fax: 305-883-8869
Mailing address:
  • Phone: 305-887-9335
  • Fax: 305-883-8869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License NumberHCC5812
License Number StateFL

VIII. Authorized Official

Name: MISS LORALEI ANN PARCHEJO
Title or Position: CONTRACT MANAGER
Credential:
Phone: 305-887-9335