Provider Demographics
NPI:1235307554
Name:NORTH BEACH RESEARCH INSTITUTE, LLC
Entity Type:Organization
Organization Name:NORTH BEACH RESEARCH INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NULBIA
Authorized Official - Middle Name:RUEDA
Authorized Official - Last Name:CANDIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-546-6516
Mailing Address - Street 1:940 S SHORE DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-2412
Mailing Address - Country:US
Mailing Address - Phone:786-456-6516
Mailing Address - Fax:305-865-5443
Practice Address - Street 1:940 S SHORE DR
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-2412
Practice Address - Country:US
Practice Address - Phone:786-456-6516
Practice Address - Fax:305-865-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1660902284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital