MEDICARE: TOUVA GROUP 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

General Provider Information

NPI Number	:	1952641623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUVA GROUP INC

Provider Business Mailing Address
First Line	:	12864 BISCAYNE BLVD
Second Line	:	SUITE 277
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2007
Country	:	US
Telephone Number	:	305-316-9773
Fax Number	:	305-675-2487

Provider Business Practice Location Address
First Line	:	12864 BISCAYNE BLVD
Second Line	:	SUITE 277
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2007
Country	:	US
Telephone Number	:	305-316-9773
Fax Number	:	305-675-2487

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUAN SACRISTAN
Credential	:
Telephone Number	:	305-316-9773

Provider Enumeration Date	:	02/18/2013
Last Update Date	:	02/18/2013

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