Provider Demographics
NPI:1043001290
Name:OHANA, MIA CHAYA
Entity type:Individual
Prefix:MS
First Name:MIA
Middle Name:CHAYA
Last Name:OHANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20191 E COUNTRY CLUB DR APT 1602
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3019
Mailing Address - Country:US
Mailing Address - Phone:786-972-1199
Mailing Address - Fax:
Practice Address - Street 1:20191 E COUNTRY CLUB DR APT 1602
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3019
Practice Address - Country:US
Practice Address - Phone:786-972-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer