Organization
FRESH START THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA AVILA (COTA /PRESIDENT)
(954) 696-6515
Entity
Organization
Contact information
Practice address
4317 SW 125TH LN, MIRAMAR, FL 33027-6015
(954) 696-6515
Mailing address
4317 SW 125TH LN, MIRAMAR, FL 33027-6015
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11580
FL
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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