Provider Demographics
NPI:1023860889
Name:P.H.W. LLC
Entity type:Organization
Organization Name:P.H.W. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORMELVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:URRA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-508-4803
Mailing Address - Street 1:11311 SW 147TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3344
Mailing Address - Country:US
Mailing Address - Phone:786-508-4803
Mailing Address - Fax:
Practice Address - Street 1:11311 SW 147TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3344
Practice Address - Country:US
Practice Address - Phone:786-508-4803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty