Organization
HIGH CLASS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO E LEIVA ACN (RENDERING PHYSCICIAN)
(305) 772-1938
Entity
Organization
Contact information
Practice address
7821 CORAL WAY, MIAMI, FL 33155-6542
(305) 772-1938
Mailing address
7821 CORAL WAY, MIAMI, FL 33155-6542
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ACN366
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN366
DEPARTMENT OF HEALTH
PR
Enumeration date
02/21/2014
Last updated
02/21/2014
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