Organization
ELITE LD THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISET DIAZ (OWNER)
(786) 587-3684
Entity
Organization
Contact information
Practice address
17424 NW 63RD CT, HIALEAH, FL 33015-4485
(786) 587-3684
Mailing address
17424 NW 63RD CT, HIALEAH, FL 33015-4485
(786) 587-3684
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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