Organization
THERA HEALTH REHAB CONSULTING MARKETING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVETTE M LUENGO (PRESIDENT)
(305) 598-1099
Entity
Organization
Contact information
Practice address
10110 SW 107TH AVE, MIAMI, FL 33176-2760
(305) 598-1099
(305) 598-6673
Mailing address
10110 SW 107TH AVE, MIAMI, FL 33176-2760
(305) 598-1099
(305) 598-6673
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RD8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/25/2005
Last updated
05/10/2010
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