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Organization
FLORIDA PRITIKIN CENTER, LLC
Active
Organization
FLORIDA PRITIKIN CENTER, LLC
Active
Other names
Pritkin Longevity Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY PUTNAM (PRESIDENT)
(305) 935-7131
Entity
Organization
Contact information
Practice address
8755 NW 36TH ST, DORAL, FL 33178-2401
(305) 935-7131
(305) 935-7371
Mailing address
8755 NW 36TH ST, DORAL, FL 33178-2401
(305) 935-7131
(305) 935-7371
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
HCC9159
FL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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