Organization
SUPREME ELY THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA MACHADO FERRER (OWNER)
(305) 608-4759
Entity
Organization
Contact information
Practice address
10262 NW 131ST ST, HIALEAH, FL 33018-1208
(305) 608-4759
Mailing address
10262 NW 131ST ST, HIALEAH, FL 33018-1208
(305) 608-4759
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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