Pecans Day Spa Inc.

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA31962 Issued in FL

Legal business name

PECANS DAY SPA INC.

Practice address

7800 SW 57TH Ave Ste 120
South Miami, FL 33143-5543

Phone

(305) 284-8636

Fax

(305) 661-0550

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Donald Scott Vorous, LMT

Title

Vice President

Phone

(305) 284-8636

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.

• Tassirikarn Chamathorn, L.M.T

  • Massage Therapist
  • South Miami, FL
  • NPI 1871880286
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1730493974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE STE 120",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435543",
            "telephone_number": "305-284-8636",
            "fax_number": "305-661-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE STE 120",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435543",
            "telephone_number": "305-284-8636",
            "fax_number": "305-661-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECANS DAY SPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "VOROUS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-284-8636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA31962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Milena Patino, ARNP
• Edgar Patino, MD
• Patricia Rodriguez Gilmore, LMHC
• Paul W. Moo Young DDS PA
• Martha Tulia Pearson
• Stephanie Pedrayes, DNP
• Denia Pedreira, M.D
• Fred Pedroletti, DMD
• Sergio Luis Peguero Valdes, MD
• Oscar Jesus Peguero Jr., D.M.D.

• Contractor in South Miami, FL
• Providers in South Miami, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.