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Organization
A.V.G. PROFESSIONAL THERAPY, INC.
Active
Organization
A.V.G. PROFESSIONAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO R SHELTON (PRESIDENT)
(305) 821-4617
Entity
Organization
Contact information
Practice address
7600 WEST 20TH AVE, SUITE 218, HIALEAH, FL 33016-1821
(305) 821-4617
Mailing address
7600 WEST 20TH AVE, SUITE 218, HIALEAH, FL 33016-1821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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