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Organization
IMPACT PHYSICAL THERAPY, INC
Active
Organization
IMPACT PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ENRIQUE RODRIGUEZ (PRESIDENT)
(786) 493-6700
Entity
Organization
Contact information
Practice address
7016 HOLLY RD, MIAMI LAKES, FL 33014-2667
(786) 493-6700
Mailing address
7016 HOLLY RD, MIAMI LAKES, FL 33014-2667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15229
FL
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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