Organization
PROFESSIONAL MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE IRIBARREN (ADMINISTRATOR)
(305) 553-5140
Entity
Organization
Contact information
Practice address
10686 SW 24TH ST, MIAMI, FL 33165-7917
(305) 553-5140
(305) 553-5150
Mailing address
10686 SW 24TH ST, MIAMI, FL 33165-7917
(305) 553-5140
(305) 553-5150
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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