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Organization
FLORIDA THERAPY ASSOC., INC
Active
Organization
FLORIDA THERAPY ASSOC., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA M VIDAL (DIRECTOR)
(786) 429-5139
Entity
Organization
Contact information
Practice address
9370 SW 72 ST, SUITE A-213, MIAMI, FL 33173
(786) 429-5139
(305) 433-7301
Mailing address
9370 SW 72ND ST STE A213, MIAMI, FL 33173-5452
(786) 429-5139
(305) 433-7301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6443
FM
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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