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Organization

M. G. A. MASSAGES REHABILITATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OLGA GONZALEZ (PRESIDENT)
(305) 646-6760
Entity
Organization

Contact information

Practice address
3383 NW 7TH ST, SUITE 206, MIAMI, FL 33125-4140
(305) 646-6760
(305) 646-6761
Mailing address
3383 NW 7TH ST, SUITE 206, MIAMI, FL 33125-4140
(305) 646-6760
(305) 646-6761

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
HCC7015
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCC7015
AHCA CERTIFICATE OFEXEMPTION
FL
Enumeration date
02/09/2009
Last updated
02/09/2009
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