=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689725236
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FLORIDA HAND TEAM & ASSOCIATES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2007
-----------------------------------------------------
Last Update Date | 06/22/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11371 SW 211TH ST STE 28
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33189-2244
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-969-0830
-----------------------------------------------------
Fax | 305-969-4882
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11371 SW 211TH ST STE 28
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33189-2244
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-969-0830
-----------------------------------------------------
Fax | 305-969-4882
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | RANDALL H BROWNING
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 305-408-7353
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XH1200X
-----------------------------------------------------
Taxonomy Name | Hand Occupational Therapist
-----------------------------------------------------
License Number | 548576-8
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------