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Organization
USA SPORTS MEDICINE MIAMI LAKES LLC
Active
Organization
USA SPORTS MEDICINE MIAMI LAKES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TUZIK (CREDENTIALING MANAGER)
(941) 412-3800
Entity
Organization
Contact information
Practice address
16200 NW 59TH AVE STE 107, MIAMI LAKES, FL 33014-7541
(305) 479-2973
Mailing address
404 WASHINGTON AVE STE 120, MIAMI BEACH, FL 33139-6651
(305) 479-2973
(305) 735-7662
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
11/20/2025
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