=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003816448
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | M.O.V.E.R.S.,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2005
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 714 - 716 NW 62ND STREET
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-754-2268
-----------------------------------------------------
Fax | 305-754-2668
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7186 NW 14TH PL
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33147-7042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-693-8033
-----------------------------------------------------
Fax | 305-693-8043
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHAIRPERSON
-----------------------------------------------------
Name | MR. WILLIAM PERRY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-693-8033
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------