Organization
HIGHLAND THERAPEUTIC CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN SANTANA (PRESIDENT)
(786) 391-2984
Entity
Organization
Contact information
Practice address
7805 SW 24TH ST, SUITE # 127, MIAMI, FL 33155-6539
(786) 319-2984
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 1-C, MIAMI, FL 33172-7012
(305) 138-6900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC10576
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164540647
OCCUPATIONAL THERAPIST
FL
01
—
1366421216
PHYSICAL THERAPY
FL
Enumeration date
06/07/2013
Last updated
08/22/2014
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