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NOUVELLE VIE THERAPY CORP. NPI 1740672161


NPI Information

NPI: 1740672161
Provider Name: NOUVELLE VIE THERAPY, CORP.
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
916 NW 167TH AVE
PEMBROKE PINES, FL
ZIP 33028
Phone: (217) 371-6369
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NOUVELLE VIE THERAPY, CORP. is a point of service in Pembroke Pines, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. NOUVELLE VIE THERAPY, CORP. NPI is 1740672161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

916 NW 167TH AVE
PEMBROKE PINES, FL
ZIP 33028-478
Phone: (217) 371-6369

The provider's authorized official is Janneth Clavijo .
The authorized official title is President and has the following contact phone number (786) 227-2494.

The enumeration date for this NPI number is 2/22/2015 and was last updated on 2/22/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistMA235512FLORIDANo
2305S00000XPoint of ServiceMA235512FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDFLORIDA

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: 4/28/2024

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