Provider Demographics
NPI:1992025282
Name:SOLUTIONS THERAPY CENTER, INC
Entity Type:Organization
Organization Name:SOLUTIONS THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:I
Authorized Official - Credentials:MA
Authorized Official - Phone:305-819-2194
Mailing Address - Street 1:7600 W 20TH AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1821
Mailing Address - Country:US
Mailing Address - Phone:305-819-2194
Mailing Address - Fax:305-819-2195
Practice Address - Street 1:7600 W 20TH AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1821
Practice Address - Country:US
Practice Address - Phone:305-819-2194
Practice Address - Fax:305-819-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8291225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC8291OtherMASSAGE THERAPY