Organization
ADVANCE THERAPY OF MIAMI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIVAN RODRIGUEZ (OWNER)
(786) 558-7990
Entity
Organization
Contact information
Practice address
2415 NW 97TH AVE, DORAL, FL 33172-2307
(786) 558-7990
Mailing address
2415 NW 97TH AVE, DORAL, FL 33172-2307
(786) 558-7990
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA 60755
FL
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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