Organization
GALLOWAY THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO PEREZ (ADMIN/OWNER)
(305) 934-6454
Entity
Organization
Contact information
Practice address
9280 HAMMOCKS BLVD, 106, MIAMI, FL 33196-1507
(305) 383-3348
(305) 756-9527
Mailing address
946 NE 96TH ST, MIAMI SHORES, FL 33138-2524
(305) 934-6454
(305) 756-9527
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
10-3247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004696000
—
FL
Enumeration date
03/10/2014
Last updated
03/10/2014
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