Organization
UNIVERSAL PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MORENO (OWNER)
(305) 216-4321
Entity
Organization
Contact information
Practice address
930 LOBSTER LN, KEY LARGO, FL 33037-3860
(305) 216-4321
Mailing address
930 LOBSTER LN, KEY LARGO, FL 33037-3860
(305) 216-4321
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SA9382
FL
Other
Enumeration date
07/20/2013
Last updated
07/20/2013
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