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Organization
MABATH, LLC.
Active
Organization
MABATH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GARCIA (CREDENTIALING DIRECTOR)
(305) 606-0337
Entity
Organization
Contact information
Practice address
6971 N FEDERAL HWY STE 205, BOCA RATON, FL 33487-1648
(407) 490-8052
(305) 466-9543
Mailing address
926 N O ST, LAKE WORTH, FL 33460-2746
(407) 490-8052
(305) 466-9543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29622
PT
FL
Enumeration date
02/06/2019
Last updated
07/11/2019
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