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Organization

ABC THERAPEUTIC CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE JOAQUIN GRAVIER M.T. (DIRECT OWNER)
(305) 646-5900
Entity
Organization

Contact information

Practice address
1800 SW 1ST ST, SUITE 102, MIAMI, FL 33135-1960
(305) 646-5900
Mailing address
1800 SW 1ST ST, SUITE 102, MIAMI, FL 33135-1960
(305) 646-5900

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
06/17/2006
Last updated
04/27/2009
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