Organization
MIND BODY & SOUL REHAB SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISETH VANESA ARAYA (PRESIDENT)
(786) 246-2501
Entity
Organization
Contact information
Practice address
14075 SW 143RD CT, SUITE 1, MIAMI, FL 33186-5682
(786) 246-2501
Mailing address
PO BOX 162908, MIAMI, FL 33116-2908
(786) 246-2501
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
CH6060
FL
Other
Enumeration date
06/11/2007
Last updated
04/28/2008
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