Organization
ACTIVE SPORTS MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO PEREZ PT (OWNER)
(305) 275-6346
Entity
Organization
Contact information
Practice address
5995 SW 71ST ST, SOUTH MIAMI, FL 33143-3500
(305) 275-6346
(305) 275-6347
Mailing address
9335 SW 68TH ST, MIAMI, FL 33173-2324
(305) 275-6346
(305) 275-6347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7854
FL
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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