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

Table of content: (NPI 1750354726)

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:
09/21/2011
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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