Provider Demographics
NPI:1841660164
Name:URANTIA HEALTH CENTER INC
Entity type:Organization
Organization Name:URANTIA HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PD
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:PEDRO
Authorized Official - Last Name:MORFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-507-6648
Mailing Address - Street 1:11300 NW 87TH CT
Mailing Address - Street 2:SUITE 161
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4586
Mailing Address - Country:US
Mailing Address - Phone:786-717-5759
Mailing Address - Fax:786-717-6302
Practice Address - Street 1:11300 NW 87TH CT
Practice Address - Street 2:SUITE 161
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4586
Practice Address - Country:US
Practice Address - Phone:786-717-5759
Practice Address - Fax:786-717-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10428302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization