Organization
MIAMI SCI WELLNESS, INC
Active
Other names
iAM ABLE
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN GONZALEZ DPT (PHYSICAL THERAPIST)
(305) 283-9717
Entity
Organization
Contact information
Practice address
14241 SW 120TH ST STE 107, MIAMI, FL 33186-7240
(305) 283-9717
(786) 431-1347
Mailing address
14241 SW 120TH ST STE 107, MIAMI, FL 33186-7240
(305) 283-9717
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16224
AGENCY FOR HEALTH CARE ADMINISTRATION LICENSE
FL
Enumeration date
11/04/2021
Last updated
11/04/2021
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