Provider Demographics
NPI:1619324076
Name:VIB VERY INTELLIGENT BODY LLC
Entity Type:Organization
Organization Name:VIB VERY INTELLIGENT BODY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YASMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-302-9764
Mailing Address - Street 1:951 BRICKELL AVE
Mailing Address - Street 2:#4210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3930
Mailing Address - Country:US
Mailing Address - Phone:786-302-9764
Mailing Address - Fax:
Practice Address - Street 1:1330 CORAL WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2929
Practice Address - Country:US
Practice Address - Phone:786-452-7413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM32648225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty