Organization
CRYSTAL-JOINT THERAPY SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNYS MATO (OWNER)
(305) 848-6376
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 240U, HIALEAH, FL 33012-4665
(305) 848-6376
(866) 553-1734
Mailing address
3750 W 16TH AVE STE 240U, HIALEAH, FL 33012-4665
(305) 848-6376
(866) 553-1734
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
ME28850
FL
208D00000X
General Practice Physician
Primary
ME91436
FL
Other
Enumeration date
03/21/2013
Last updated
09/25/2015
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