Provider Demographics
NPI:1639425614
Name:ALL PROFESSIONAL HEATHCARE CENTER
Entity Type:Organization
Organization Name:ALL PROFESSIONAL HEATHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-597-7361
Mailing Address - Street 1:7925 NW 12TH ST
Mailing Address - Street 2:229
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1827
Mailing Address - Country:US
Mailing Address - Phone:305-597-7361
Mailing Address - Fax:305-597-7364
Practice Address - Street 1:7925 NW 12TH ST
Practice Address - Street 2:229
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1827
Practice Address - Country:US
Practice Address - Phone:305-597-7361
Practice Address - Fax:305-597-7364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA57857OtherLICENSED MASSAGE THERAPIST