Organization
CORAL THERAPY MASSAGE CORP
Active
Organization
CORAL THERAPY MASSAGE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LELIS ZALDIVAR I M.A (PRESIDENT)
(305) 456-9498
Entity
Organization
Contact information
Practice address
7801 SW 24TH ST STE 104, MIAMI, FL 33155-6538
(305) 456-9498
(786) 360-1811
Mailing address
7801 SW 24TH ST STE 104, MIAMI, FL 33155-6538
(305) 456-9498
(786) 360-1811
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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