Organization
DYNAMIC PROFESSIONAL TREATMENTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOANDRA ACOSTA (PRESIDENT)
(786) 419-0697
Entity
Organization
Contact information
Practice address
2470 SW 137TH AVE, MIAMI, FL 33175-6330
(786) 419-0697
(305) 675-2668
Mailing address
2470 SW 137TH AVE, MIAMI, FL 33175-6330
(786) 419-0697
(305) 675-2668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 8642
AHCA HCC UNIT EXEMPT
GA
Enumeration date
07/15/2010
Last updated
07/15/2010
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