Organization
MACEO THERAPY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RUIZ (OWNER)
(786) 348-8037
Entity
Organization
Contact information
Practice address
7171 CORAL WAY, SUITE 403, MIAMI, FL 33155-1449
(305) 269-7460
(305) 269-7462
Mailing address
7171 CORAL WAY, SUITE 403, MIAMI, FL 33155-1449
(305) 269-7460
(305) 269-7462
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7715
FL
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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