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Organization
SCAPE SPA INC
Active
Organization
SCAPE SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDEL JOAO QUINTERO (OWNER / VP)
(786) 853-7681
Entity
Organization
Contact information
Practice address
13304 SW 128TH ST, MIAMI, FL 33186-5899
(305) 290-6169
Mailing address
13304 SW 128TH ST, MIAMI, FL 33186-5899
(305) 290-6169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM30119
FL
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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