Provider Demographics
NPI:1992001416
Name:FLORIDA HEALTH CENTER,INC
Entity Type:Organization
Organization Name:FLORIDA HEALTH CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:AGNES-MARIE
Authorized Official - Last Name:JORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-728-9723
Mailing Address - Street 1:4471 NW 36TH ST
Mailing Address - Street 2:SUITE 216-3
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7285
Mailing Address - Country:US
Mailing Address - Phone:305-728-9723
Mailing Address - Fax:786-378-5355
Practice Address - Street 1:4471 NW 36TH ST
Practice Address - Street 2:SUITE 216-3
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7285
Practice Address - Country:US
Practice Address - Phone:305-728-9723
Practice Address - Fax:786-378-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty