Organization
INNOVATIVE SOLUTION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORIDALMA MENJIVAR (PRESIDENT)
(305) 487-2532
Entity
Organization
Contact information
Practice address
9600 NW 25TH ST STE 3C, DORAL, FL 33172-1416
(786) 963-9150
(786) 963-9218
Mailing address
9600 NW 25TH ST STE 3C, DORAL, FL 33172-1416
(786) 963-9150
(786) 963-9218
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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