Provider Demographics
NPI:1588211171
Name:LOVE MASSAGE MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:LOVE MASSAGE MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:DELMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-973-2954
Mailing Address - Street 1:8300 W FLAGLER ST STE 254D
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-6002
Mailing Address - Country:US
Mailing Address - Phone:305-492-5983
Mailing Address - Fax:786-452-9903
Practice Address - Street 1:8300 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-6000
Practice Address - Country:US
Practice Address - Phone:305-530-8096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy