Organization
EVOLVE PT, LLC
Active
Organization
EVOLVE PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS ENMANUEL MUNOZ DPT (MANAGING PARTNER)
(305) 588-9064
Entity
Organization
Contact information
Practice address
18001 COLLINS AVE, 2ND FLOOR SPA, SUNNY ISLES BEACH, FL 33160-2722
(786) 777-8828
Mailing address
253 NE 2ND ST APT 2208, MIAMI, FL 33132-2294
(305) 588-9064
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
PT28676
FL
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/21/2016
Last updated
10/26/2017
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