1750354726 NPI number — HAND & ARM THERAPY SPECIALIST'S INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750354726 NPI number — HAND & ARM THERAPY SPECIALIST'S INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAND & ARM THERAPY SPECIALIST'S INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750354726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13285 LAKESIDE TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COOPER CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33330-2666
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-454-3445
Provider Business Mailing Address Fax Number:
954-454-0029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5651 DAVIE RD
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
DAVIE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33314-7121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-454-3445
Provider Business Practice Location Address Fax Number:
954-454-0029
Provider Enumeration Date:
02/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RUBIO-YATES
Authorized Official First Name:
SONIA
Authorized Official Middle Name:
LORENA
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
954-454-3445

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  OT3138 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Z5183 . This is a "BLUE CROSS BLUE SHEILD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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