Organization
COMPLEX SOMI LLC
Active
Other names
Complex Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN MISIURA DPT (OWNER)
(305) 204-2350
Entity
Organization
Contact information
Practice address
5829 SW 73RD ST STE 2, SOUTH MIAMI, FL 33143-5276
(305) 469-2598
Mailing address
5829 SW 73RD ST STE 2, SOUTH MIAMI, FL 33143-5276
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
06/10/2020
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