Organization
COSTA HEALTH CENTER LLC
Active
Other names
Costa Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY PEREZ (OFFICE MANAGER)
(305) 825-1997
Entity
Organization
Contact information
Practice address
279 NW 82ND AVE, MIAMI, FL 33126-8339
(305) 559-1997
(305) 262-2552
Mailing address
279 NW 82ND AVE, MIAMI, FL 33126-8339
(305) 559-1997
(305) 262-2552
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
06/04/2012
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