Organization
PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES
Active
Organization
PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZONA K SMITH (CEO)
(305) 242-8122
Entity
Organization
Contact information
Practice address
335 S KROME AVE, SUITE 104-107, FLORIDA CITY, FL 33034-4906
(305) 242-8122
(305) 242-8837
Mailing address
335 S KROME AVE, SUITE 104, FLORIDA CITY, FL 33034-4906
(305) 242-8122
(305) 242-8837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8918619 00
—
FL
Enumeration date
04/18/2007
Last updated
07/26/2022
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