Provider Demographics
NPI:1043668981
Name:BINDU BROS, INC.
Entity Type:Organization
Organization Name:BINDU BROS, INC.
Other - Org Name:YOGAPEUTIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMORSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, RYT
Authorized Official - Phone:954-665-7806
Mailing Address - Street 1:1811 JEFFERSON ST
Mailing Address - Street 2:SUITE 707
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5435
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:514 SE 11TH CT
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1111
Practice Address - Country:US
Practice Address - Phone:954-665-7806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA51858172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty