Lymphatic Specialists, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT20858 Issued in FL

Legal business name

LYMPHATIC SPECIALISTS, INC

Practice address

1701 NW 82ND Ave
Doral, FL 33126-1015

Phone

(786) 442-1700

Fax

(305) 504-8897

NPI assigned

Jan 16, 2014

Last updated

Jan 16, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura CastroviejoNPI 1619216561

Title

Vice President

Phone

(786) 201-1703

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Fernanda Castroviejo

  • Physical Therapist
  • Miami, FL
  • NPI 1619216561
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1427470079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6990 SW 110TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732125",
            "telephone_number": "786-442-1700",
            "fax_number": "305-504-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261015",
            "telephone_number": "786-442-1700",
            "fax_number": "305-504-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHATIC SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "CASTROVIEJO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-201-1703"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT20858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.