Provider Demographics
NPI:1386913630
Name:JACQUELINE FARINAS THERAPY INC
Entity type:Organization
Organization Name:JACQUELINE FARINAS THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:305-502-5367
Mailing Address - Street 1:9901 SW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2910
Mailing Address - Country:US
Mailing Address - Phone:305-502-5367
Mailing Address - Fax:305-223-0504
Practice Address - Street 1:9901 SW 32ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2910
Practice Address - Country:US
Practice Address - Phone:305-502-5367
Practice Address - Fax:305-223-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 2909225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4833AOtherMEDICARE