Provider Demographics
NPI:1619562725
Name:VMI THERAPY GROUP CORP
Entity Type:Organization
Organization Name:VMI THERAPY GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-251-2984
Mailing Address - Street 1:1940 HARRISON ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5072
Mailing Address - Country:US
Mailing Address - Phone:954-251-2984
Mailing Address - Fax:954-251-1929
Practice Address - Street 1:1940 HARRISON ST STE 205
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5072
Practice Address - Country:US
Practice Address - Phone:954-251-2984
Practice Address - Fax:954-251-1929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center