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Organization

PRIME SPORTS PHYSICAL THERAPY

Active
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Organization

PRIME SPORTS PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EUGENE JANG P.T. (OWNER)
(646) 342-8214
Entity
Organization

Contact information

Practice address
2601 S BAYSHORE DR, 7TH FL GARAGE LEVEL, COCONUT GROVE, FL 33133-5417
(646) 342-8214
Mailing address
247 SW 8TH ST, #163, MIAMI, FL 33130-3529
(646) 342-8214

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24615
FL

Other

Enumeration date
09/30/2010
Last updated
12/27/2010
About Stedi
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  • EDI platform