Organization
MIAMI LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED, INC.
Active
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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