Healthcare Provider Details

I. General information

NPI: 1912799784
Provider Name (Legal Business Name): POWER SOUTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SUNNY ISLES BLVD UNIT 1404
SUNNY ISLES BEACH FL
33160-5640
US

IV. Provider business mailing address

300 SUNNY ISLES BLVD UNIT 1404
SUNNY ISLES BEACH FL
33160-5640
US

V. Phone/Fax

Practice location:
  • Phone: 305-440-0724
  • Fax:
Mailing address:
  • Phone: 407-247-7871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR VITO
Title or Position: PRESIDENT
Credential: DC
Phone: 407-247-7871