Organization
ADVANCED THERAGROUP OF MIAMI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY MIRALLES (PRESIDENT)
(305) 593-6880
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 815, DORAL, FL 33166-6556
(305) 593-6880
Mailing address
3900 NW 79TH AVE, SUITE 815, DORAL, FL 33166-6556
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
6202
FL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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