Organization
HIGH CLASS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DE JESUS PRADA PT (PHYSICAL THERAPY)
(305) 791-9528
Entity
Organization
Contact information
Practice address
7821 CORAL WAY STE 104, MIAMI, FL 33155-6542
(305) 791-9528
Mailing address
7821 CORAL WAY STE 104, MIAMI, FL 33155-6542
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT14991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT14991
DEPARTMENT OF HEALTH
FL
Enumeration date
01/28/2014
Last updated
01/28/2014
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