Organization
PRACTICE REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS S PILETA MASSAGE THERAPIST (OWNER)
(305) 825-8818
Entity
Organization
Contact information
Practice address
13903 NW 67TH AVE, 330, HIALEAH, FL 33014-2900
(305) 825-8819
Mailing address
13903 NW 67TH AVE, 330, HIALEAH, FL 33014-2900
(305) 825-8819
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MM25692
FL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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