Provider Demographics
NPI:1437310950
Name:UNIK SPA CENTER INC
Entity Type:Organization
Organization Name:UNIK SPA CENTER INC
Other - Org Name:UNIK SPA CENTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-1520
Mailing Address - Street 1:13190 SW 134TH ST
Mailing Address - Street 2:E-2
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4459
Mailing Address - Country:US
Mailing Address - Phone:305-303-1520
Mailing Address - Fax:305-553-7514
Practice Address - Street 1:13190 SW 134TH ST
Practice Address - Street 2:E-2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4459
Practice Address - Country:US
Practice Address - Phone:305-303-1520
Practice Address - Fax:305-553-7514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)