Provider Demographics
NPI:1598307928
Name:FUTURE HEALTH RESEARCH CLINIC CORP
Entity Type:Organization
Organization Name:FUTURE HEALTH RESEARCH CLINIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-380-9184
Mailing Address - Street 1:2711 SW 137TH AVE STE 98
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6361
Mailing Address - Country:US
Mailing Address - Phone:786-409-4792
Mailing Address - Fax:305-223-5593
Practice Address - Street 1:2711 SW 137TH AVE STE 98
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6361
Practice Address - Country:US
Practice Address - Phone:786-409-4792
Practice Address - Fax:305-223-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1366442824OtherMEDICARE PART B