Provider Demographics
NPI:1942625405
Name:MITZVAH CENTER FOR HEALTH, INC
Entity Type:Organization
Organization Name:MITZVAH CENTER FOR HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-346-6643
Mailing Address - Street 1:3900 NW 79TH AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6546
Mailing Address - Country:US
Mailing Address - Phone:786-420-5339
Mailing Address - Fax:786-420-5327
Practice Address - Street 1:3900 NW 79TH AVE STE 225
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6546
Practice Address - Country:US
Practice Address - Phone:786-420-5339
Practice Address - Fax:786-420-5327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5445261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation