Provider Demographics
NPI:1851378913
Name:CENTRAL THERAPY CENTER, INC.
Entity Type:Organization
Organization Name:CENTRAL THERAPY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-306-8791
Mailing Address - Street 1:2742 SW 8TH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4650
Mailing Address - Country:US
Mailing Address - Phone:305-643-4122
Mailing Address - Fax:305-643-4123
Practice Address - Street 1:2742 SW 8TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4650
Practice Address - Country:US
Practice Address - Phone:305-643-4122
Practice Address - Fax:305-643-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4626261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7766Medicare ID - Type UnspecifiedCLINIC