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Organization
SOUTH MIAMI SPORTMEDICINE & HAND THERAPY CENTER INC
Active
Organization
SOUTH MIAMI SPORTMEDICINE & HAND THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALAN MILLARES OTRL CHT (PRESIDENT OWNER)
(305) 666-7116
Entity
Organization
Contact information
Practice address
7000 SW 62 AVE, #120, MIAMI, FL 33143
(305) 666-7116
(305) 666-7168
Mailing address
7000 SW 62 AVE, #120, MIAMI, FL 33143
(305) 666-7116
(305) 666-7168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y902E
BCBS
FL
Enumeration date
08/28/2006
Last updated
04/16/2014
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