Organization
BM&PROFESSIONAL ASSOCIATE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MEDINA M.S OTR/L (PRESIDENT)
(786) 662-9188
Entity
Organization
Contact information
Practice address
3140 NW 53RD LN, MIAMI, FL 33142-3472
(786) 662-9188
(786) 431-5734
Mailing address
3140 NW 53RD LN, MIAMI, FL 33142-3472
(786) 662-9188
(786) 431-5734
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
13096
FL
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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