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Organization
FUERZA VITAL MEDICAL INSTITUTE, CORP
Active
Organization
FUERZA VITAL MEDICAL INSTITUTE, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS MANUEL BENITEZ VILA (PRESIDENT)
(305) 640-8530
Entity
Organization
Contact information
Practice address
3701 SW 107TH AVE, MIAMI, FL 33165-3638
(305) 553-8343
(305) 640-8537
Mailing address
3701 SW 107TH AVE, MIAMI, FL 33165-3638
(305) 553-8343
(305) 640-8537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
SA12725
FL
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/06/2018
Last updated
06/11/2024
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