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Organization
PREMIERE PHYSICAL THERAPY
Active
Organization
PREMIERE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROOSEVELT MOORE DPT (MANAGER)
(305) 968-5622
Entity
Organization
Contact information
Practice address
1005 NW 79TH ST STE 104, MIAMI, FL 33150-3141
(305) 756-9947
(305) 756-9948
Mailing address
1005 NW 79TH ST STE 104, MIAMI, FL 33150-3141
(305) 756-9947
(305) 756-9948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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