Provider Demographics
NPI:1144288440
Name:FAMILY THERAPY RESOURCE INC
Entity type:Organization
Organization Name:FAMILY THERAPY RESOURCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-222-1135
Mailing Address - Street 1:14750 SW 26TH ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5933
Mailing Address - Country:US
Mailing Address - Phone:305-222-1135
Mailing Address - Fax:305-222-1138
Practice Address - Street 1:14750 SW 26TH ST
Practice Address - Street 2:SUITE 212
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5933
Practice Address - Country:US
Practice Address - Phone:305-222-1135
Practice Address - Fax:305-222-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME21032174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9250Medicare ID - Type Unspecified