# MEDICAL THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487937884
- **Authorized official:** FROILAN MENA (PRESIDENT)
- **Authorized official phone:** (305) 559-0054

## Contact information

- **Practice address:** 890 SW 87TH AVE STE 12, MIAMI, FL 33174-3245
- **Practice address phone:** (305) 559-0054
- **Practice address fax:** (305) 559-0053
- **Mailing address:** 890 SW 87TH AVE STE 12, MIAMI, FL 33174-3245
- **Mailing address phone:** (305) 559-0054
- **Mailing address fax:** (305) 559-0053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME 95227 | FL | Yes |

## Other

- **Enumeration date:** 09/21/2011
- **Last updated:** 08/23/2012