Provider Demographics
NPI:1992093363
Name:BMS THERAPY INC
Entity type:Organization
Organization Name:BMS THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:AUXILIADORA
Authorized Official - Last Name:CASSAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-381-5474
Mailing Address - Street 1:4811 NORTH WEST 79 AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-381-5474
Mailing Address - Fax:305-381-5931
Practice Address - Street 1:4811 NW 79TH AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5438
Practice Address - Country:US
Practice Address - Phone:305-381-5474
Practice Address - Fax:305-381-5931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM27224225700000X
FL261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty