Provider Demographics
NPI:1891096525
Name:THERAPY MEDICAL CENTER INC
Entity Type:Organization
Organization Name:THERAPY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOHENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:786-581-5963
Mailing Address - Street 1:2550 NW 72 AVE #113
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122
Mailing Address - Country:US
Mailing Address - Phone:786-581-5963
Mailing Address - Fax:786-472-8119
Practice Address - Street 1:2550 NW 72TH AVE #113
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122
Practice Address - Country:US
Practice Address - Phone:786-581-5963
Practice Address - Fax:786-472-8119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8739261QH0100X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy