Organization
CORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NICHOLAS GUERRERO E.P., C.S.C.S, DPT (DPT)
(305) 222-1892
Entity
Organization
Contact information
Practice address
10739 W FLAGLER ST, MIAMI, FL 33174-1421
(305) 222-1982
Mailing address
10739 W FLAGLER ST, MIAMI, FL 33174-1421
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
25087
FL
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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