Provider Health Services INC

NPI #1164695250 in Hialeah, Florida

Provider Information

NPI Number: 1164695250
Entity Type: Organization
Organization Name: Provider Health Services INC
Primary Specialty: General Practice
Enumeration Date: Apr 9, 2008
Last Updated: Apr 9, 2008

Practice Location

Address: 3750 W 16 AVE
Address 2: SUITE 102
City: Hialeah
State: Florida
ZIP Code: 33012
Phone: (305) 557-3132

Authorized Official

Name: DIANA E PAZ
Title: PRESIDENT
Phone: (305) 557-3132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
General Practice	208D00000X	Primary

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