Organization
BLUE CORAL THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO SANSO (PRESIDENT)
(305) 965-2355
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2-M5, MIAMI, FL 33172-7018
(305) 965-2355
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 2-M5, MIAMI, FL 33172-7018
(305) 965-2355
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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