Provider Demographics
NPI:1770959371
Name:USHC
Entity type:Organization
Organization Name:USHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBDO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUTHAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-709-7912
Mailing Address - Street 1:1966 NE 123RD STREET
Mailing Address - Street 2:#210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181
Mailing Address - Country:US
Mailing Address - Phone:305-691-0086
Mailing Address - Fax:
Practice Address - Street 1:1966 NE 123RD STREET
Practice Address - Street 2:#210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:305-691-0086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA71546225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty