Organization
MEDICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FROILAN MENA (PRESIDENT)
(305) 559-0054
Entity
Organization
Contact information
Practice address
890 SW 87TH AVE STE 12, MIAMI, FL 33174-3245
(305) 559-0054
(305) 559-0053
Mailing address
890 SW 87TH AVE STE 12, MIAMI, FL 33174-3245
(305) 559-0054
(305) 559-0053
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 95227
FL
Other
Enumeration date
09/21/2011
Last updated
08/23/2012
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