Provider Demographics
NPI:1174820559
Name:FISIOTERAPIA HOLLYWOOD INC
Entity Type:Organization
Organization Name:FISIOTERAPIA HOLLYWOOD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VINCENZA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUCIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-924-2507
Mailing Address - Street 1:115 S 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6801
Mailing Address - Country:US
Mailing Address - Phone:954-924-2507
Mailing Address - Fax:954-924-2579
Practice Address - Street 1:115 S 17TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6801
Practice Address - Country:US
Practice Address - Phone:954-924-2507
Practice Address - Fax:954-924-2579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-19
Last Update Date:2011-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center