Provider Demographics
NPI:1467600205
Name:HYPERBARIC SERVICES OF SOUTH FLORIDA INC
Entity Type:Organization
Organization Name:HYPERBARIC SERVICES OF SOUTH FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-592-4433
Mailing Address - Street 1:8337 NW 12TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1841
Mailing Address - Country:US
Mailing Address - Phone:305-592-4433
Mailing Address - Fax:
Practice Address - Street 1:8337 NW 12TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1841
Practice Address - Country:US
Practice Address - Phone:305-592-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care