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Organization
MIAMI AA MASSAGE LLC
Active
Organization
MIAMI AA MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RAUL PEREZ LANDABURO (VICE PRESIDENT)
(786) 930-5066
Entity
Organization
Contact information
Practice address
2555 NW 102ND AVE STE 201, DORAL, FL 33172-1301
(786) 930-5066
Mailing address
2555 NW 102ND AVE STE 201, DORAL, FL 33172-1301
(786) 930-5066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/06/2025
Last updated
01/12/2026
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