Organization
DG SERVICES PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAFNE H SANCHEZ II MT (OWNER)
(786) 320-0743
Entity
Organization
Contact information
Practice address
2955 NE 190TH ST, #101, AVENTURA, FL 33180-4912
(786) 320-0743
Mailing address
PO BOX 650544, MIAMI, FL 33265-0544
(786) 320-0743
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA59040
FL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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