Organization
GNC THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OCTAVIO LIMA (OWNER)
(954) 548-1159
Entity
Organization
Contact information
Practice address
5489 WILES RD, SUITE #304, COCONUT CREEK, FL 33073-4220
(954) 984-2701
(954) 984-1873
Mailing address
5489 WILES RD, SUITE #304, COCONUT CREEK, FL 33073-4220
(954) 984-2701
(954) 984-1873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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