Gloral Body Mind LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2011007815 Issued in FL

Legal business name

GLORAL BODY MIND LLC

Practice address

8290 NW 27TH St Ste 605
Doral, FL 33122-1907

Phone

(305) 463-0101

Fax

(305) 463-0066

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Clara Cabanas

Title

Accupuncturist

Phone

(305) 463-0101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1699070177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 NW 27TH ST STE 605",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221907",
            "telephone_number": "305-463-0101",
            "fax_number": "305-463-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 NW 27TH ST STE 605",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221907",
            "telephone_number": "305-463-0101",
            "fax_number": "305-463-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORAL BODY MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "CABANAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CLARA",
        "authorized_official_title_or_position": "ACCUPUNCTURIST",
        "authorized_official_telephone_number": "305-463-0101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "2011007815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.