Provider Demographics
NPI:1023630894
Name:SUMMER SOLSTICE 2006 LLC
Entity type:Organization
Organization Name:SUMMER SOLSTICE 2006 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:B
Authorized Official - Last Name:FARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-305-0396
Mailing Address - Street 1:333 UNIVERSITY DR APT 401
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7265
Mailing Address - Country:US
Mailing Address - Phone:305-305-0396
Mailing Address - Fax:
Practice Address - Street 1:2911 BRIDGEPORT AVE
Practice Address - Street 2:
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-3607
Practice Address - Country:US
Practice Address - Phone:305-305-0396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty