Provider Demographics
NPI:1699092635
Name:GOOD HANDS MEDICAL & THERAPY CENTER, INC
Entity type:Organization
Organization Name:GOOD HANDS MEDICAL & THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPISTS
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELLANIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-462-8866
Mailing Address - Street 1:7171 CORAL WAY
Mailing Address - Street 2:218
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1449
Mailing Address - Country:US
Mailing Address - Phone:786-462-8866
Mailing Address - Fax:786-350-2147
Practice Address - Street 1:7171 CORAL WAY
Practice Address - Street 2:218
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1449
Practice Address - Country:US
Practice Address - Phone:786-462-8866
Practice Address - Fax:786-350-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8186261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service