Organization
OMEGA THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO MOR (PRESIDENT)
(305) 220-2232
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2-A3, MIAMI, FL 33172-7018
(305) 220-2232
(305) 220-2262
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 2-A3, MIAMI, FL 33172-7018
(305) 220-2232
(305) 220-2262
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC9272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9272
ACHA LICENSE
FL
Enumeration date
10/12/2011
Last updated
10/12/2011
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