Provider Demographics
NPI:1629495460
Name:COMMUNITY RESEARCH FOUNDATION CENTER, INC
Entity Type:Organization
Organization Name:COMMUNITY RESEARCH FOUNDATION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEFA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BINKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-266-0006
Mailing Address - Street 1:6700 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1734
Mailing Address - Country:US
Mailing Address - Phone:305-266-0006
Mailing Address - Fax:305-437-8130
Practice Address - Street 1:6700 SW 21ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1734
Practice Address - Country:US
Practice Address - Phone:305-266-0006
Practice Address - Fax:305-437-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL44551208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty