Organization
FICO THERAPIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO FERNANDO SARIOL CRESPO MAMA 62868 (P)
(786) 326-6180
Entity
Organization
Contact information
Practice address
1774 NW 42 ND ST, MIAMI, FL 33142
(786) 326-6180
Mailing address
1774 NW 42ND ST, MIAMI, FL 33142-4867
(786) 326-6180
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA62868
FL
Other
Enumeration date
08/16/2011
Last updated
10/18/2011
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