Organization
MIAMI LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA JACKO (PRESIDENT & CEO)
(305) 856-4176
Entity
Organization
Contact information
Practice address
601 SW 8TH AVE, MIAMI, FL 33130
(786) 362-7500
(305) 854-1759
Mailing address
601 SW 8TH AVE., MIAMI, FL 33130
(786) 362-7500
(305) 854-1759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/01/2009
Last updated
09/27/2017
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