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Organization

CHARIS OPTICAL LLC

Active
Other names
Physical Therapy Now of North Miami
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA DUBOIS BRUTUS (OWNER)
(305) 710-8820
Entity
Organization

Contact information

Practice address
2170 NE 123RD ST, NORTH MIAMI, FL 33181-2902
(305) 570-1666
(305) 203-0546
Mailing address
14870 SW 149TH ST, MIAMI, FL 33196-2359

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT11471
MEDICAL LICENSE
FL
Enumeration date
09/19/2018
Last updated
07/19/2019
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