Provider Demographics
NPI:1134768450
Name:FIRST PREVENTION & DIALYSIS CORRECTION,LLC
Entity type:Organization
Organization Name:FIRST PREVENTION & DIALYSIS CORRECTION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-621-8899
Mailing Address - Street 1:17940 NW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3505
Mailing Address - Country:US
Mailing Address - Phone:305-621-8899
Mailing Address - Fax:305-623-7880
Practice Address - Street 1:17940 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3505
Practice Address - Country:US
Practice Address - Phone:305-621-8899
Practice Address - Fax:305-623-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies