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Organization
NEW U PHYSICAL THERAPY OF NORTH MIAMI, PLLC
Active
Organization
NEW U PHYSICAL THERAPY OF NORTH MIAMI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS POLONSKIY MS DPT (OWNER)
(917) 306-4109
Entity
Organization
Contact information
Practice address
12550 BISCAYNE BLVD STE 403, NORTH MIAMI, FL 33181-2537
(646) 675-0703
(347) 857-6005
Mailing address
12550 BISCAYNE BLVD STE 403, NORTH MIAMI, FL 33181-2537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT38484
LICENSE
FL
Enumeration date
08/19/2022
Last updated
08/19/2022
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