Organization
M &O MASSAGE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C CORREA VILA (PRESIDENT)
(395) 888-2004
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE, SUITE 134-U, HIALEAH, FL 33012-4654
(305) 888-2004
(305) 888-2005
Mailing address
3750 W 16TH AVE, SUITE 134-U, HIALEAH, FL 33012-4654
(305) 888-2004
(305) 888-2005
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC8438
FL
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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