Provider Demographics
NPI:1033346192
Name:ATLANTIC HEALTH CENTER , CORP
Entity Type:Organization
Organization Name:ATLANTIC HEALTH CENTER , CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIBAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BORROTO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-264-6234
Mailing Address - Street 1:1335 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3308
Mailing Address - Country:US
Mailing Address - Phone:305-264-6234
Mailing Address - Fax:305-264-6235
Practice Address - Street 1:1335 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3308
Practice Address - Country:US
Practice Address - Phone:305-264-6234
Practice Address - Fax:305-264-6235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA43016261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy