Provider Demographics
NPI:1013046291
Name:I T HEALTH SERVICES INC
Entity Type:Organization
Organization Name:I T HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LORALEI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PARCHEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-887-9335
Mailing Address - Street 1:820 NE 126TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4906
Mailing Address - Country:US
Mailing Address - Phone:305-887-9335
Mailing Address - Fax:305-883-8869
Practice Address - Street 1:820 NE 126TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4906
Practice Address - Country:US
Practice Address - Phone:305-887-9335
Practice Address - Fax:305-883-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5812261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9135OtherMEDICARE ID