Organization
VILLACIAN THERAPHY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GONZALEZ LMT (PRESIDENT)
(305) 262-1004
Entity
Organization
Contact information
Practice address
7171 SW 24TH ST STE 419, MIAMI, FL 33155-1693
(305) 262-1004
(305) 262-1005
Mailing address
7171 SW 24TH ST STE 419, MIAMI, FL 33155-1693
(305) 262-1004
(305) 262-1005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
HCC9364
FL
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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