Organization
ACTIVE HEALTH AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL CERVERA DC (PRESIDENT)
(305) 380-6296
Entity
Organization
Contact information
Practice address
20505 S DIXIE HWY, SUITE 533, CUTLER BAY, FL 33189-1229
(305) 380-6296
Mailing address
20505 S DIXIE HWY, SUITE 533, CUTLER BAY, FL 33189-1229
(305) 380-6296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9589
FL
Other
Enumeration date
03/27/2009
Last updated
04/20/2009
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