# ABC THERAPEUTIC CENTER, INC.

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

## Provider details

- **NPI number:** 1508801200
- **Authorized official:** MR. JOSE JOAQUIN GRAVIER M.T. (DIRECT OWNER)
- **Authorized official phone:** (305) 646-5900

## Contact information

- **Practice address:** 1800 SW 1ST ST, SUITE 102, MIAMI, FL 33135-1960
- **Practice address phone:** (305) 646-5900
- **Mailing address:** 1800 SW 1ST ST, SUITE 102, MIAMI, FL 33135-1960
- **Mailing address phone:** (305) 646-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 04/27/2009
