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Organization

LOVING CARE MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY COELLO (OWNER/FINANCIAL ADMINISTRATOR)
(786) 229-6872
Entity
Organization

Contact information

Practice address
5084 NW 74TH AVE, MIAMI, FL 33166-5554
(786) 907-4942
(305) 530-8537
Mailing address
5084 NW 74TH AVE, MIAMI, FL 33166-5554
(786) 907-4942
(305) 530-8537

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
261Q00000X
Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/23/2025
Last updated
05/23/2025
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