KENBECK LLC


Address: 4342 E Tradewinds Ave, Lauderdale By The Sea, FL 33308-5044
Phone: 9544913103

KENBECK LLC (NPI# 1437286937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics Other Service Providers

Other Provider/Organization Names

Other Name Type Code
THE LIGHT THERAPY INSTITUTE Doing Business As Name - Organization

Office Location

Street Address 4342 E TRADEWINDS AVE
City LAUDERDALE BY THE SEA
State FL
Zip Code 33308-5044

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City LAUDERDALE BY THE SEA
Zip Code 33308

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Dataset Information

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.

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