Provider Demographics
NPI:1811185622
Name:ASSOCIATES IN ADVANCED THERAPEUTICS INC
Entity Type:Organization
Organization Name:ASSOCIATES IN ADVANCED THERAPEUTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REHAB
Authorized Official - Prefix:MR
Authorized Official - First Name:ARDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, PI
Authorized Official - Phone:943-321-9804
Mailing Address - Street 1:PO BOX 8843
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33310-8843
Mailing Address - Country:US
Mailing Address - Phone:954-321-9804
Mailing Address - Fax:
Practice Address - Street 1:11900 W DIXIE HWY
Practice Address - Street 2:SUITE # 5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-6110
Practice Address - Country:US
Practice Address - Phone:305-688-4855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM 19285225700000X
FL19285305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11214OtherREHAB
FL19285OtherREHAB