Provider Demographics
NPI:1023388576
Name:SAPPHIRE MASSAGE CENTER CORP
Entity type:Organization
Organization Name:SAPPHIRE MASSAGE CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTINI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-556-6885
Mailing Address - Street 1:1840 W 49TH ST
Mailing Address - Street 2:SUITE# 514
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012
Mailing Address - Country:US
Mailing Address - Phone:305-556-6885
Mailing Address - Fax:305-556-6882
Practice Address - Street 1:1840 W 49TH ST
Practice Address - Street 2:SUITE# 514
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012
Practice Address - Country:US
Practice Address - Phone:305-556-6885
Practice Address - Fax:305-556-6882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM 27313261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation