| Organization Name: | THERAPEUTIC MASSAGE SERVICES OF OKEECHOBEE ROAD CORP |
| NPI Number: | 1104164383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REINALDO CINTA GONZALEZ (PRESIDENT) |
| Mailing Address: | 8040 Nw 95th St Suite 223 Hialeah Gardens |
| State: | FL US |
| Postal Code: | 330162361 |
| Phone Number: | 3052001311 |
| Fax Number: | 3052001316 |
| NPI Enumeration Date: | 01/23/2013 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | HCC9905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |