Organization Active NPI

Evolution Health Corp

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1962785279
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA 63384 Issued in FL
Legal business name
EVOLUTION HEALTH CORP
Practice address
275 Fontainebleau Blvd Ste 190
Miami, FL 33172-4576
Phone
(305) 316-8513
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Gianni Lorenzo
Title
President
Phone
(305) 316-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA 63384 FL Primary

Addresses

Primary practice location

275 Fontainebleau Blvd Ste 190
Miami, FL 33172-4576

Mailing address

275 Fontainebleau Blvd Ste 190
Miami, FL 33172-4576
Phone (305) 316-8513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1962785279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 FONTAINEBLEAU BLVD STE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724576",
            "telephone_number": "305-316-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 FONTAINEBLEAU BLVD STE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724576",
            "telephone_number": "305-316-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "GIANNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-316-8513"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA 63384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.