Provider Demographics
NPI:1427376581
Name:SOUTH FLORIDA THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:SOUTH FLORIDA THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-820-3252
Mailing Address - Street 1:5590 W 20TH AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-7062
Mailing Address - Country:US
Mailing Address - Phone:305-820-3252
Mailing Address - Fax:305-820-3253
Practice Address - Street 1:5590 W 20TH AVE STE 402
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-7062
Practice Address - Country:US
Practice Address - Phone:305-820-3252
Practice Address - Fax:305-820-3253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH4051OtherCHIROPRACTIC