Organization
NEW MIAMI THERAPY CENTEER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO ALVAREZ-GRIGORIEVA MA 52942 (PRESIDENT)
(305) 229-3020
Entity
Organization
Contact information
Practice address
8360 BIRD RD, MIAMI, FL 33155-3354
(305) 229-3020
(305) 229-3022
Mailing address
8360 BIRD RD, MIAMI, FL 33155-3354
(305) 229-3020
(305) 229-3022
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MM 24845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM 24845
MASSAGE ESTABLISHMENT
FL
Enumeration date
09/23/2010
Last updated
09/23/2010
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