Organization
SOUTH COAST PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASSOUL ABTAHI 305 8210100 (PHYSICAL THERAPY PRESIDENT)
(305) 821-0100
Entity
Organization
Contact information
Practice address
4999 W 8TH AVE, SUITE 6, HIALEAH, FL 33012-3409
(305) 821-0100
(305) 821-0808
Mailing address
4999 W 8TH AVE, SUITE 6, HIALEAH, FL 33012-3409
(305) 821-0100
(305) 821-0808
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
RPT0004946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881213600
—
FL
Enumeration date
01/24/2007
Last updated
12/20/2007
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