Organization
COMPLEX SOMI LLC
Active
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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