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Organization

GABLES INJURY & SPORTS THERAPY CENTER LLC

Active
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Organization

GABLES INJURY & SPORTS THERAPY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEJANDRO LOPEZ (PRESIDENT)
(786) 953-8378
Entity
Organization

Contact information

Practice address
3121 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6816
(786) 953-8378
Mailing address
3121 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-6816

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCC9122
AHCA NUMBER
FL
Enumeration date
04/21/2011
Last updated
02/01/2012
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