Organization
B&M PROFESSIONAL THERAPEUTIC MASSAGE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENIGNO PENA MASSAGE THERAPIST (MASSAGE THERAPIST)
(786) 291-1803
Entity
Organization
Contact information
Practice address
7124 SW 114TH PL APT G, MIAMI, FL 33173-1885
(786) 291-1803
Mailing address
1421 SW 107TH AVE # 220, MIAMI, FL 33174-2526
(786) 291-1803
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA62320
FL
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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