Provider Demographics
NPI:1952625006
Name:B&C THERAPY CENTER, INC
Entity Type:Organization
Organization Name:B&C THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EVORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-5351
Mailing Address - Street 1:2005 W 62ND ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2657
Mailing Address - Country:US
Mailing Address - Phone:786-360-5351
Mailing Address - Fax:786-360-5390
Practice Address - Street 1:2005 W 62ND ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2657
Practice Address - Country:US
Practice Address - Phone:786-360-5351
Practice Address - Fax:786-360-5390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center