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Organization
USHC
Active
Organization
USHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE DOUTHAT (CBDO)
(786) 709-7912
Entity
Organization
Contact information
Practice address
1966 NE 123RD STREET, #210, MIAMI, FL 33181
(305) 691-0086
Mailing address
1966 NE 123RD STREET, #210, MIAMI, FL 33181
(305) 691-0086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA71546
FL
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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