Provider Demographics
NPI:1932635018
Name:SOUTH FLORIDA RESTORE MOTION LLC
Entity Type:Organization
Organization Name:SOUTH FLORIDA RESTORE MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:CURIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-754-5240
Mailing Address - Street 1:7760 W 20TH AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1890
Mailing Address - Country:US
Mailing Address - Phone:786-718-0531
Mailing Address - Fax:786-610-1898
Practice Address - Street 1:7760 W 20TH AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1890
Practice Address - Country:US
Practice Address - Phone:877-754-5240
Practice Address - Fax:786-610-1898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1314235332900000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332900000XSuppliersNon-Pharmacy Dispensing Site