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Organization

CONCENTRA HEALTH SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. W TOM FOGARTY (PRESIDENT)
(972) 364-8000
Entity
Organization

Contact information

Practice address
6341 SUNSET DR, SOUTH MIAMI, FL 33143
(305) 666-5971
(305) 666-0496
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST, ADDISON, TX 75001-4625
(972) 364-8000
(214) 775-4406

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QH0100X
Health Service Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
261QX0100X
Occupational Medicine Clinic/Center

Other

Enumeration date
08/01/2007
Last updated
05/08/2009
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