Provider Demographics
NPI:1407134802
Name:FEELING GOOD CLINIC, INC.
Entity Type:Organization
Organization Name:FEELING GOOD CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-704-1999
Mailing Address - Street 1:8009 NW 36TH ST
Mailing Address - Street 2:231
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6638
Mailing Address - Country:US
Mailing Address - Phone:786-704-1999
Mailing Address - Fax:
Practice Address - Street 1:8009 NW 36TH ST
Practice Address - Street 2:231
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6638
Practice Address - Country:US
Practice Address - Phone:786-704-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 59167261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy