Organization
ENERGIZE MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK ALONSO (PRESIDENT)
(305) 559-8781
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, 2G-10, MIAMI, FL 33172-7018
(305) 559-8781
(305) 559-8791
Mailing address
175 FONTAINEBLEAU BLVD, 2G-10, MIAMI, FL 33172-7018
(305) 559-8781
(305) 559-8791
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MM 23771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM 23771
MASSAGE ESTABLISHMENT
FL
Enumeration date
10/20/2009
Last updated
10/20/2009
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