Organization
FLORIDA DYNAMIC THERAPY & DIAGN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA BURUNAT (PRESIDENT)
(786) 773-7738
Entity
Organization
Contact information
Practice address
13365 SW 42 T, MIAMI, FL 33175
(786) 773-9322
(305) 381-1421
Mailing address
13365 SW 42 T, MIAMI, FL 33175
(786) 773-9322
(305) 381-1421
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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