Organization
COCOA RIVER THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNY ALFONSO (DIRECTOR OF FINANCE)
(786) 279-1134
Entity
Organization
Contact information
Practice address
700 S 29TH ST, FORT PIERCE, FL 34947-3626
(786) 279-1134
Mailing address
1835 NE MIAMI GARDENS DR STE 157, NORTH MIAMI BEACH, FL 33179-5035
(786) 279-1134
(786) 513-2499
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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