Organization Name: | SWEET HOPE RESEARCH SPECIALTY, INC |
NPI Number: | 1083049779 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL CHAVEZ (PRESIDENT) |
Mailing Address: | 14505 Commerce Way Ste 545 Miami Lakes |
State: | FL US |
Postal Code: | 330161597 |
Phone Number: | 3054569062 |
Fax Number: | 3054569141 |
NPI Enumeration Date: | 09/12/2013 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | AHCA HCC 9853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |