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Organization
PHYSIO VITAE LLC
Active
Organization
PHYSIO VITAE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DI FAUSTO (OWNER)
(305) 902-8130
Entity
Organization
Contact information
Practice address
7441 WAYNE AVE APT 4Q, MIAMI BEACH, FL 33141-2571
(305) 902-8130
Mailing address
7441 WAYNE AVE APT 4Q, MIAMI BEACH, FL 33141-2571
(305) 902-8130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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