Organization
HEISHA MEDICAL & THERAPY CTR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIMA THAUREAUX (PRESIDENT)
(786) 370-9527
Entity
Organization
Contact information
Practice address
4620 N HABANA AVE, # 200, TAMPA, FL 33614-7107
(786) 370-9527
Mailing address
6420 N HABANA AVE #202, TAMPA, FL 33614
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MM23434
FL
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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