KENBECK LLC (NPI# 1437286937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437286937 |
Entity Type | Organization |
Organization Name | KENBECK LLC |
Other Organization Name | THE LIGHT THERAPY INSTITUTE |
Practice Address |
4342 E Tradewinds Ave Lauderdale By The Sea FL 33308-5044 |
Practice Telephone | 9544913103 |
Practice Fax Number | 9544913105 |
Mailing Telephone | 9544913103 |
Enumeration Date | 2007-02-28 |
Last Update Date | 2008-06-17 |
Authorized Official Name | SOFIYA JOHNSON (PRESIDENT) |
Authorized Official Telephone | 9544913103 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
Other Name | Type Code |
---|---|
THE LIGHT THERAPY INSTITUTE | Doing Business As Name - Organization |
Street Address |
4342 E TRADEWINDS AVE |
City | LAUDERDALE BY THE SEA |
State | FL |
Zip Code | 33308-5044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275798811 | Paul Alexander Kelly | Massage Therapist | 4342 E Tradewinds Ave, Lauderdale By The Sea, FL 33308-5044 | 2008-07-23 |
1013171487 | Center for Intergrative Wellness | Chiropractor | 4342 E Tradewinds Ave, Lauderdale By The Sea, FL 33308-5044 | 2008-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
Find all providers in zip 33308 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790108678 | Doctor Ralph Miniet Practice | Medical Genetics, Ph.D. Medical Genetics | 275 Fontainebleau Blvd Suite 210, Miami, FL 33172 | 2014-01-28 |
1861733115 | Supreme Medical Center | Medical Genetics, Ph.D. Medical Genetics | 9370 Sw 72nd St Ste A103, Miami, FL 33173-5470 | 2013-03-12 |
1881939809 | Advance Rheumatology Services Inc | Medical Genetics, Ph.D. Medical Genetics | 206 Foxtail Dr Apt G2, Greenacres, FL 33415-6014 | 2012-12-03 |
1417229725 | Celebrity Rehab Inc | Medical Genetics, Ph.D. Medical Genetics | 50 Nw 15th St, Suite 101, Homestead, FL 33030-4266 | 2012-02-01 |
1376821678 | Tracy M Baker | Medical Genetics, Ph.D. Medical Genetics | 9155 S Dadeland Blvd Ste 1708, Miami, FL 33156-2742 | 2011-08-03 |
1952506412 | Elvis Lazaro Ferrera | Medical Genetics, Ph.D. Medical Genetics | 1506 E 4th Ave, Hialeah, FL 33010-3159 | 2007-06-15 |
1962625178 | Miami Springs Health Center Inc | Medical Genetics, Ph.D. Medical Genetics | 3968 Curtiss Pkwy, Virginia Gardens, FL 33166-7108 | 2007-04-10 |
1780704072 | Feel Better Medical Center Inc | Medical Genetics, Ph.D. Medical Genetics | 2141 S.w 1 St, Suite 211, Miami, FL 33135 | 2007-03-30 |
1568599041 | Flagler Clinic Center Corp | Medical Genetics, Ph.D. Medical Genetics | 6765 W Flagler St, Miami, FL 33144-2923 | 2007-02-28 |
1407998800 | First Medical Center of Tampa, Inc | Medical Genetics, Ph.D. Medical Genetics | 8316 Hanley Rd, Suite 3-4, Tampa, FL 33634-2284 | 2007-02-13 |
Find all providers with the same taxonomy |
City | LAUDERDALE BY THE SEA |
Zip Code | 33308 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.