Organization
ANGELS LOVING THERAPY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEYRIS ARIAS (AUTHORIZED OFFICIAL)
(786) 355-4722
Entity
Organization
Contact information
Practice address
13115 W OKEECHOBEE RD STE 111, HIALEAH GARDENS, FL 33018-6056
(786) 355-4722
Mailing address
13115 W OKEECHOBEE RD STE 111, HIALEAH GARDENS, FL 33018-6056
(786) 355-4722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL20496
LICENSE
FL
Enumeration date
05/13/2022
Last updated
05/18/2022
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