NIRVANA CLINIC CENTER LLC NPI 1396441689

NPI Information

  • NPI: 1396441689
  • Provider Name: NIRVANA CLINIC CENTER LLC
  • Classification: Physical Medicine & Rehabilitation - 2081P0010X
  • Specialization: Pediatric Rehabilitation Medicine
  • Entity Type: Organization
  • Address: 8765 SW 165TH AVE STE 105
    MIAMI, FL
    ZIP 33193
  • Phone: (786) 577-0024

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NPI Details

NIRVANA CLINIC CENTER LLC is a pediatric rehabilitation medicine physical medicine rehabilitation in Miami, FL. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. NIRVANA CLINIC CENTER LLC NPI is 1396441689. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8765 SW 165TH AVE STE 105
MIAMI, FL
ZIP 33193-832
Phone: (786) 577-0024
Fax: (786) 773-2234

The provider's authorized official is Daniela Manno .
The authorized official title is Cfo and has the following contact phone number (786) 577-0024.

The enumeration date for this NPI number is 2/7/2023 and was last updated on 2/7/2023.

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
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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