Provider Demographics
NPI:1396554283
Name:SMALL STEPS OF THE MIED LLC
Entity type:Organization
Organization Name:SMALL STEPS OF THE MIED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ITZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOCARRAS BRENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-419-7052
Mailing Address - Street 1:10920 CARLTON FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-3215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10920 CARLTON FIELDS DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-3215
Practice Address - Country:US
Practice Address - Phone:786-419-7052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty