Organization
PRIME PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AYALA (OWNER)
(305) 898-3012
Entity
Organization
Contact information
Practice address
826 NW 132ND CT, MIAMI, FL 33182-2251
(305) 898-3012
Mailing address
826 NW 132ND CT, MIAMI, FL 33182-2251
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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