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ADVANCED MASSAGE THERAPY REHAB CORP NPI 1659656114


NPI Information

NPI: 1659656114
Provider Name: ADVANCED MASSAGE THERAPY REHAB CORP

Former Legal Business Name: BERRA'S GENERAL SERVICES

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 10D2271891

Address:
5800 SW 17TH ST
MIAMI, FL
ZIP 33155
Phone: (786) 239-7345
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ADVANCED MASSAGE THERAPY REHAB CORP is a rehabilitation clinic center in Miami, FL. ADVANCED MASSAGE THERAPY REHAB CORP NPI is 1659656114. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Berra's General Services.

The provider's business location address is:

5800 SW 17TH ST
MIAMI, FL
ZIP 33155-121
Phone: (786) 239-7345

The provider's authorized official is Rebeca Berra .
The authorized official title is President and has the following contact phone number (786) 239-7345.

The CLIA number assigned to this NPI record is 10D2271891 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.


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/CenterRehabilitationMA50653FLORIDAYes

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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