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Organization

POLESTAR PILATES CENTER, LLC

Active
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Organization

POLESTAR PILATES CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRENT ANDERSON PHD (PHYSICAL THERAPIST)
(305) 740-6001
Entity
Organization

Contact information

Practice address
1500 MONZA AVE, SUITE 350, CORAL GABLES, FL 33146-3005
(305) 740-6001
Mailing address
1500 MONZA AVE, SUITE 350, CORAL GABLES, FL 33146-3005
(305) 740-6001
(305) 740-6998

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—

Other

Enumeration date
06/18/2006
Last updated
08/03/2012
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