Organization
SHORES THERAPY, LLC
Active
Organization
SHORES THERAPY, LLC
Active
Other names
Glades Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA HEREDIA MPT (DIRECTOR OF THERAPY)
(305) 588-4210
Entity
Organization
Contact information
Practice address
358 NE 105TH ST, MIAMI SHORES, FL 33138-2022
(305) 588-4210
Mailing address
358 NE 105TH ST, MIAMI SHORES, FL 33138-2022
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487766689
PERSONAL NPI
FL
Enumeration date
03/05/2018
Last updated
03/05/2018
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