1629495460 NPI number — COMMUNITY RESEARCH FOUNDATION CENTER, INC

Table of content: (NPI 1629495460)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629495460 NPI number — COMMUNITY RESEARCH FOUNDATION CENTER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY RESEARCH FOUNDATION CENTER, 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:
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NPI Number Information

NPI Number:
1629495460
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6700 SW 21ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33155-1734
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-266-0006
Provider Business Mailing Address Fax Number:
305-437-8130

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6700 SW 21ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33155-1734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-266-0006
Provider Business Practice Location Address Fax Number:
305-437-8130
Provider Enumeration Date:
03/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BINKER
Authorized Official First Name:
JOSEFA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-266-0006

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  44551 , 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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