ADVANCED KINETICS CORP NPI 1710426093

NPI Information

NPI: 1710426093
Provider Name: ADVANCED KINETICS CORP
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 10D2016021

Address:
16381 NW 13TH ST
PEMBROKE PINES, FL
ZIP 33028
Phone: (305) 333-0284
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ADVANCED KINETICS CORP is a rehabilitation clinic center in Pembroke Pines, FL. ADVANCED KINETICS CORP NPI is 1710426093. The provider is registered as an organization entity type.

The provider's business location address is:

16381 NW 13TH ST
PEMBROKE PINES, FL
ZIP 33028-309
Phone: (305) 333-0284
Fax: (888) 855-6681

The provider's authorized official is Gloria Marcela Grajales .
The authorized official title is President and has the following contact phone number (305) 333-0284.

The CLIA number assigned to this NPI record is 10D2016021 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 2/20/2017.

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
1	261QR0400X	Clinic/Center	Rehabilitation	13889	FLORIDA	Yes

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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