Organization Name: | UNIQUE PROFESSIONAL SERVICE |
NPI Number: | 1982991907 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GRISELL HERNANDEZ (PRESIDENT) |
Mailing Address: | 2344 Nw 7th St Miami |
State: | FL US |
Postal Code: | 331253249 |
Phone Number: | 3056496090 |
Fax Number: | 3056494576 |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | 5705782 |
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.) |