Organization
UNIVERSAL MEDICAL & THERAPY SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS P FERNANDEZ MA (PRESIDENT MASSAGE THERAPIST)
(305) 551-8329
Entity
Organization
Contact information
Practice address
10542 SW 8TH ST, MIAMI, FL 33174-2602
(305) 551-8329
(305) 551-8330
Mailing address
10542 SW 8TH ST, MIAMI, FL 33174-2602
(305) 551-8329
(305) 551-8330
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA 48295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BMO 56386
X RAY OPERATOR
FL
01
—
MA 48295
MASSAGE THERAPIST
FL
Enumeration date
12/03/2009
Last updated
12/03/2009
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