Organization
IBEJI WELLNESS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES MEDINA (PRESIDENT)
(305) 274-8883
Entity
Organization
Contact information
Practice address
9835 SW 72ND ST, STE 204, MIAMI, FL 33173-4670
(305) 274-8883
(305) 274-8885
Mailing address
9835 SW 72ND ST, STE 204, MIAMI, FL 33173-4670
(305) 274-8883
(305) 274-8885
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
HCC9554
FL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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