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Organization
PARTNERS IN HEALTH F.O.R.M.E MEDICAL AND REHAB CENTERS, INC
Active
Organization
PARTNERS IN HEALTH F.O.R.M.E MEDICAL AND REHAB CENTERS, INC
Active
Other names
Partners in Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY ROBERT SANON DC (CEO/PHYSICIAN)
(305) 758-7979
Entity
Organization
Contact information
Practice address
9730 NE 2ND AVE, MIAMI SHORES, FL 33138-2311
(305) 758-7979
(305) 758-0034
Mailing address
9730 NE 2ND AVE, MIAMI SHORES, FL 33138-2311
(305) 758-7979
(305) 758-0034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7398
FL
111N00000X
Chiropractor
CH9614
FL
208000000X
Pediatrics Physician
ME26113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258983400
—
FL
Enumeration date
03/15/2007
Last updated
08/21/2013
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