MEDICARE: CENTRAL THERAPY CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	HCC4626	FL

General Provider Information

NPI Number	:	1851378913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL THERAPY CENTER, INC.

Provider Business Mailing Address
First Line	:	2742 SW 8TH ST
Second Line	:	SUITE 207
City	:	MIAMI
State	:	FL
Zip	:	33135-4650
Country	:	US
Telephone Number	:	305-643-4122
Fax Number	:	305-643-4123

Provider Business Practice Location Address
First Line	:	2742 SW 8TH ST
Second Line	:	SUITE 207
City	:	MIAMI
State	:	FL
Zip	:	33135-4650
Country	:	US
Telephone Number	:	305-643-4122
Fax Number	:	305-643-4123

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CARLOS SANCHEZ
Credential	:
Telephone Number	:	786-306-8791

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	08/22/2020

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