Organization
MEDERAPY HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL ANGEL LABRADA DPT (PRESIDENT/OWNER)
(305) 772-1052
Entity
Organization
Contact information
Practice address
6424 N ARMENIA AVE, TAMPA, FL 33604-5712
(305) 804-1200
Mailing address
6424 N ARMENIA AVE, TAMPA, FL 33604-5712
(305) 804-1200
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT33901
PT33901
FL
Enumeration date
10/10/2019
Last updated
09/06/2023
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