Organization Name: | INJURY TREATMENT CENTER OF FT. PIERCE, LLC |
NPI Number: | 1821409046 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN SVABEK (PHYSICIAN) |
Mailing Address: | 1380 Ne Miami Gardens Dr #138 North Miami Beach |
State: | FL US |
Postal Code: | 331794707 |
Phone Number: | 3057312315 |
Fax Number: | 3057312191 |
NPI Enumeration Date: | 05/09/2014 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | OS10331 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |