Provider Demographics
NPI:1235568601
Name:855-411-4-HRT CORP
Entity Type:Organization
Organization Name:855-411-4-HRT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-243-8556
Mailing Address - Street 1:91421 OVERSEAS HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2542
Mailing Address - Country:US
Mailing Address - Phone:305-243-8556
Mailing Address - Fax:305-243-8585
Practice Address - Street 1:91421 OVERSEAS HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2542
Practice Address - Country:US
Practice Address - Phone:305-243-8556
Practice Address - Fax:305-243-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center