Organization
MACYAS SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO HERNANDEZ MASSAGE THERAPIST (PRESIDENT)
(305) 717-2440
Entity
Organization
Contact information
Practice address
8009 NW 36TH ST STE 236, DORAL, FL 33166-6638
(305) 717-2440
(305) 717-2422
Mailing address
8009 NW 36TH ST STE 236, DORAL, FL 33166-6638
(305) 717-2440
(305) 717-2422
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA66162
FL
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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