Organization
CORAL GABLES PHYSICAL THERAPY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD YACOUB MSPT (OWNER)
(305) 722-0568
Entity
Organization
Contact information
Practice address
4110 AURORA ST, CORAL GABLES, FL 33146-1416
(305) 722-0568
(305) 446-1565
Mailing address
PO BOX 331912, MIAMI, FL 33233-1912
(305) 722-0568
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/09/2024
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