Organization
DADE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GUTIERREZ M.S.,P.T., O.C.S. (DIRECTOR)
(305) 661-1441
Entity
Organization
Contact information
Practice address
8603 S DIXIE HWY, SUITE 308, MIAMI, FL 33143-7807
(305) 661-1441
(305) 661-1443
Mailing address
8603 S DIXIE HWY, SUITE 308, MIAMI, FL 33143-7807
(305) 661-1441
(305) 661-1443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 5204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225110661
NPI
FL
Enumeration date
10/19/2006
Last updated
11/11/2010
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