Provider Demographics
NPI:1154609287
Name:EULESLIE MEDICAL CENTER INC
Entity type:Organization
Organization Name:EULESLIE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:EULESLIE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-328-9534
Mailing Address - Street 1:2141 SW 1ST ST
Mailing Address - Street 2:STE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1694
Mailing Address - Country:US
Mailing Address - Phone:305-328-9534
Mailing Address - Fax:786-513-2495
Practice Address - Street 1:2141 SW 1ST ST
Practice Address - Street 2:STE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1694
Practice Address - Country:US
Practice Address - Phone:305-328-9534
Practice Address - Fax:786-513-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4649225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty