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Organization

PRESTIGE MEDICAL SPA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OFIR O MACIAS TORRES (PRESIDENT)
(305) 251-9917
Entity
Organization

Contact information

Practice address
13205 SW 137TH AVE, STE. 126, MIAMI, FL 33186-5331
(305) 251-9917
(305) 251-9975
Mailing address
13205 SW 137 AVE, STE. 126, MIAMI, FL 33186
(305) 251-9917
(305) 251-9975

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC9867
FL

Other

Enumeration date
02/10/2012
Last updated
03/06/2012
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