Spartakus Center Corp

LBN: Spartakus Center Corp
Spartakus Center Corp is an health care organization with primary practice located at 5190 Nw 167Th St Suite 108, Miami Gardens FL 33014-6328. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Spartakus Center Corp can be contacted via phone (305) 625-7719, or through Nodarse, Omar via phone (305) 625-7719.

Contact Information

Primary practice address
5190 Nw 167Th St Suite 108 Miami Gardens FL 33014-6328
Phone: (305) 625-7719
Fax: (305) 625-7720
Website:
Map and Directions
Authorized official contact:
Name: Nodarse, Omar LMT
Phone: (305) 625-7719

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1720362593
LBN Legal business name Spartakus Center Corp
DBA Doing business as
Authorized official Nodarse, Omar LMT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2011
Last updated Sep 28th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720362593 NPPES
Florida Other 9110 AHCA

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