1023272184 NPI number — DISABLED AND ABLE BODIES, 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 1023272184 NPI number — DISABLED AND ABLE BODIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DISABLED AND ABLE BODIES, 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:
1023272184
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14335 SW 120TH ST
Provider Second Line Business Mailing Address:
SUITE # 113
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33186-7294
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-382-6968
Provider Business Mailing Address Fax Number:
305-397-1409

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14335 SW 120TH ST
Provider Second Line Business Practice Location Address:
SUITE # 113
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33186-7294
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-382-6968
Provider Business Practice Location Address Fax Number:
305-397-1409
Provider Enumeration Date:
07/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
PADILLA
Authorized Official First Name:
CONSUELO
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT/DIRECTOR
Authorized Official Telephone Number:
305-281-6505

Provider Taxonomy Codes

  • Taxonomy code: 225400000X , with the licence number:  OT 3078 , 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)





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