Organization
INFINITY SPORTS INSTITUTE LLC
Active
Other names
Physical Therapy Now Edgewater
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR MARADIAGA (MANAGER)
(786) 514-3185
Entity
Organization
Contact information
Practice address
161 NE 24TH ST, MIAMI, FL 33137-5800
(305) 570-1666
(305) 203-0546
Mailing address
161 NE 24TH ST, MIAMI, FL 33137-5800
(305) 570-1666
(305) 203-0546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT26790
MEDICAL LICENSE
FL
Enumeration date
09/19/2018
Last updated
09/19/2018
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