Organization
ABC THERAPY CENTER CORP.
Active
Organization
ABC THERAPY CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALIA ACOSTA M.D. (MEDICAL DIRECTOR)
(305) 649-0508
Entity
Organization
Contact information
Practice address
959 SW 122ND AVE, SUITE 959, MIAMI, FL 33184-2406
(305) 649-0508
(305) 649-2145
Mailing address
959 SW 122ND AVE, SUITE 959, MIAMI, FL 33184-2406
(305) 649-0508
(305) 649-2145
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME66961
FL
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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