Organization
MYKOF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL CASTILLO (PRES)
(786) 394-0632
Entity
Organization
Contact information
Practice address
730 NW 106TH AVE UNIT 3, MIAMI, FL 33172-3164
(305) 227-7202
Mailing address
730 NW 106TH AVE UNIT 3, MIAMI, FL 33172-3164
(305) 227-7202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA61106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61106
LMT FLORIDA LICENSE
FL
Enumeration date
06/02/2011
Last updated
06/02/2011
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