Organization
MIAMI SPORST MASSAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTIN M NORDLUND (OWNER/MASSAGE THERAPIST)
(305) 409-0532
Entity
Organization
Contact information
Practice address
11537 SW 81 ROAD, MIAMI, FL 33156
(305) 409-0532
Mailing address
11537 SW 81ST RD, MIAMI, FL 33156-4414
(305) 409-0532
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MT0000006640
TN
Other
Enumeration date
07/25/2008
Last updated
03/10/2014
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