Organization
NB SPORTS MASSAGE AND REHAB.CORP
Active
Organization
NB SPORTS MASSAGE AND REHAB.CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LUIS VALIENTE LMT (PRESIDENT)
(305) 597-3909
Entity
Organization
Contact information
Practice address
1200 NW 78TH AVE, STE 212, DORAL, FL 33126-1835
(305) 597-3909
(305) 597-3903
Mailing address
1200 NW 78TH AVE, STE 212, DORAL, FL 33126
(305) 597-3909
(305) 597-3903
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA58987
FL
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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