Provider Demographics
NPI:1720609365
Name:TRIANA THERAPY CENTER. INC
Entity Type:Organization
Organization Name:TRIANA THERAPY CENTER. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKEEPING
Authorized Official - Prefix:
Authorized Official - First Name:MARIELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-424-9724
Mailing Address - Street 1:817 S UNIVERSITY DR STE 119
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3318
Mailing Address - Country:US
Mailing Address - Phone:954-424-9724
Mailing Address - Fax:
Practice Address - Street 1:13526 VILLAGE PARK DR STE 220
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7685
Practice Address - Country:US
Practice Address - Phone:407-794-1465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty