Healthcare Provider Details
I. General information
NPI: 1700180411
Provider Name (Legal Business Name): ELECTROMAGNETIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2011
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7800 SW 57TH AVE SUITE 216
SOUTH MIAMI FL
33143-5528
US
IV. Provider business mailing address
7800 SW 57TH AVE SUITE 216
SOUTH MIAMI FL
33143-5528
US
V. Phone/Fax
- Phone: 305-663-6411
- Fax:
- Phone: 305-663-6411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | 2806 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
FRANCISCO
RICARDO
CAMACHO
Title or Position: PRESIDENT
Credential: AP
Phone: 305-298-7825