Organization
ASSOCIATES THERAPIST GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA MONDEJO (PRESIDENT)
(305) 207-8786
Entity
Organization
Contact information
Practice address
8760A SW 8TH ST, SUITE 14, MIAMI, FL 33174-3201
(305) 207-8786
(305) 207-8773
Mailing address
8760A SW 8TH ST, SUITE 14, MIAMI, FL 33174-3201
(305) 207-8786
(305) 207-8773
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
HCC 4816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC 4816
ACHA EXEMPION CERT
FL
Enumeration date
06/12/2007
Last updated
08/22/2020
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