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Organization
NEW IMAGE THERAPY CORP
Active
Organization
NEW IMAGE THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMADOR REYES AUTHORIZED DELEGATE (CONSULTANY)
(786) 253-7699
Entity
Organization
Contact information
Practice address
15271 NW 60TH AVE STE 101, MIAMI LAKES, FL 33014-2431
(786) 398-1892
Mailing address
15271 NW 60TH AVE STE 101, MIAMI LAKES, FL 33014-2431
(786) 398-1892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
225700000X
Massage Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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