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Organization
SAN MIGUEL COMMUNITY WELLNESS CENTER
Active
Organization
SAN MIGUEL COMMUNITY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL NOVOA (PRESIDENT)
(305) 432-4032
Entity
Organization
Contact information
Practice address
12030 SW 129TH CT STE 107-108, MIAMI, FL 33186-4583
(305) 432-4032
Mailing address
12030 SW 129TH CT STE 107-108, MIAMI, FL 33186-4583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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