Organization
ADVANCED KINETICS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA MARCELA GRAJALES OTR (PRESIDENT)
(305) 333-0284
Entity
Organization
Contact information
Practice address
16381 NW 13TH ST, PEMBROKE PINES, FL 33028-1309
(305) 333-0284
(888) 855-6681
Mailing address
16381 NW 13TH ST, PEMBROKE PINES, FL 33028-1309
(305) 333-0284
(888) 855-6681
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
13889
FL
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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