Organization
ULTIMATE PERFORMANCE FITNESS CONSULTANTS PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS JAVIER JIMENEZ DPT (MANAGER-HEAD PHYSICAL THERAPIST)
(305) 904-7732
Entity
Organization
Contact information
Practice address
9831 NW 58TH ST #130, DORAL, FL 33178
(305) 456-0529
Mailing address
8980 W FLAGLER ST. APT. 213, MIAMI, FL 33174
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
27898
FL
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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