Healthcare Provider Details

I. General information

NPI: 1851508790
Provider Name (Legal Business Name): HANDS ON HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 W OAKLAND PARK BLVD SUITE# A23
OAKLAND PARK FL
33311-1243
US

IV. Provider business mailing address

2901 W OAKLAND PARK BLVD SUITE# A23
OAKLAND PARK FL
33311-1243
US

V. Phone/Fax

Practice location:
  • Phone: 954-731-8097
  • Fax: 954-733-6892
Mailing address:
  • Phone: 954-731-8097
  • Fax: 954-733-6892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA 27581
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA 20523
License Number StateFL

VIII. Authorized Official

Name: MR. BARRY NORMAN BURAK
Title or Position: OWNER
Credential:
Phone: 305-666-8883