Organization
PHYSIOCORE FITNESS & REHAB., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORYS HERRERA P.T. (PRESIDENT)
(305) 668-9108
Entity
Organization
Contact information
Practice address
1565 SUNSET DRIVE, CORAL GABLES, FL 11343-5642
(786) 271-3033
(305) 668-9109
Mailing address
1565 SUNSET DRIVE, CORAL GABLES, FL 33143-5528
(305) 668-9108
(305) 668-9109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18986
FL
2251N0400X
Neurology Physical Therapist
18986
FL
2251S0007X
Sports Physical Therapist
18986
FL
2251X0800X
Orthopedic Physical Therapist
Primary
18986
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18986
PHYSICAL THERAPIST
FL
Enumeration date
05/15/2007
Last updated
01/14/2010
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