Provider Demographics
NPI:1881958080
Name:MARGIE'S THERAPEUTIC TOUCH
Entity type:Organization
Organization Name:MARGIE'S THERAPEUTIC TOUCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYURI
Authorized Official - Middle Name:A
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:954-562-6197
Mailing Address - Street 1:2525 N STATE ROAD 7
Mailing Address - Street 2:SUITE 112
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3201
Mailing Address - Country:US
Mailing Address - Phone:954-562-6197
Mailing Address - Fax:
Practice Address - Street 1:2525 N STATE ROAD 7
Practice Address - Street 2:SUITE 112
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3201
Practice Address - Country:US
Practice Address - Phone:954-562-6197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM22432261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain