Provider Demographics
NPI:1114092020
Name:PAH RECOVERY HOLDINGS LLC
Entity Type:Organization
Organization Name:PAH RECOVERY HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MNAYMNEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-379-2322
Mailing Address - Street 1:1001 BRICKELL BAY DR
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-4900
Mailing Address - Country:US
Mailing Address - Phone:305-379-2322
Mailing Address - Fax:
Practice Address - Street 1:5959 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3129
Practice Address - Country:US
Practice Address - Phone:305-264-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4008282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital