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MED THERAPY NPI 1366986036


NPI Information

NPI: 1366986036
Provider Name: MED THERAPY
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 10D2261421

Address:
2500 SW 107TH AVE STE 49
MIAMI, FL
ZIP 33165
Phone: (786) 870-5230
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MED THERAPY is a rehabilitation clinic center in Miami, FL. MED THERAPY NPI is 1366986036. The provider is registered as an organization entity type.

The provider's business location address is:

2500 SW 107TH AVE STE 49
MIAMI, FL
ZIP 33165-492
Phone: (786) 870-5230
Fax: (786) 870-5232

The provider's authorized official is David Vladimir Sacerio .
The authorized official title is President and has the following contact phone number (786) 355-8657.

The CLIA number assigned to this NPI record is 10D2261421 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 12/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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