Organization
PHYSICAL AND PROFESSIONAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS COREA VILA (PRESIDENT)
(305) 819-6273
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE, SUITE 248, HIALEAH, FL 33012-4654
(305) 819-6273
(305) 819-6274
Mailing address
3750 W 16TH AVE, SUITE 248, HIALEAH, FL 33012-4654
(305) 819-6273
(305) 819-6274
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC10793
FL
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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