Organization
MANAGEMENT LAYR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS YANCE (PRESIDENT)
(754) 444-4171
Entity
Organization
Contact information
Practice address
6807 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2116
(754) 444-4171
Mailing address
6807 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2116
(754) 444-4171
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
07/21/2021
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