Organization
FLORIDA PRITIKIN CENTER, LLC
Active
Other names
Pritkin Longevity Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY PUTNAM (PRESIDENT)
(305) 935-7131
Entity
Organization
Contact information
Practice address
8755 NW 36TH ST, DORAL, FL 33178-2401
(305) 935-7131
(305) 935-7371
Mailing address
8755 NW 36TH ST, DORAL, FL 33178-2401
(305) 935-7131
(305) 935-7371
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
HCC9159
FL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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