Provider Demographics
NPI:1477533537
Name:REFLEXION MEDICAL CENTER
Entity Type:Organization
Organization Name:REFLEXION MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-541-9881
Mailing Address - Street 1:1250 SW 27TH AVE
Mailing Address - Street 2:STE 306
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4741
Mailing Address - Country:US
Mailing Address - Phone:305-541-9818
Mailing Address - Fax:305-541-9868
Practice Address - Street 1:1250 SW 27TH AVE
Practice Address - Street 2:STE 306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4741
Practice Address - Country:US
Practice Address - Phone:305-541-9818
Practice Address - Fax:305-541-9868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10337225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683204Medicare ID - Type Unspecified