Provider Demographics
NPI:1730994112
Name:INNOVAIONCLINICAL TRIALS INC.
Entity type:Organization
Organization Name:INNOVAIONCLINICAL TRIALS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOELSI
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-298-5170
Mailing Address - Street 1:9000 SW 152ND ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1942
Mailing Address - Country:US
Mailing Address - Phone:786-298-5170
Mailing Address - Fax:786-587-1524
Practice Address - Street 1:9000 SW 152ND ST STE 202
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1942
Practice Address - Country:US
Practice Address - Phone:786-298-5170
Practice Address - Fax:786-587-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health