Organization
BODY EVOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE DEA DPT (AMBR)
(386) 747-8634
Entity
Organization
Contact information
Practice address
1450 MADRUGA AVE STE 405, CORAL GABLES, FL 33146-3165
(386) 747-8634
Mailing address
6851 SW 52ND ST, MIAMI, FL 33155-5711
(386) 747-8634
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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