Organization
WEST THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR M PEREZ AUTHORIZED OFFICIAL (PRESIDENT/OWNER)
(305) 972-3408
Entity
Organization
Contact information
Practice address
175 FOUNTAINBLEAU BLVD STE 2G-11, MIAMI, FL 33172-7012
(786) 870-5931
Mailing address
175 FOUNTAINBLEAU BLVD STE 2G11, MIAMI, FL 33172-7012
(786) 870-5931
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA40609
MA
FL
Enumeration date
03/20/2020
Last updated
03/20/2020
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