Organization
NEUROMUSCULAR THERAPY OF SOUTH FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A GAVILANEZ (ADMINISTRATOR)
(305) 596-4876
Entity
Organization
Contact information
Practice address
9425 SW 72ND ST STE 186, MIAMI, FL 33173-3298
(305) 596-4876
(305) 596-4861
Mailing address
9425 SW 72ND ST STE 186, MIAMI, FL 33173-3298
(305) 596-4876
(305) 596-4861
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R5A
BCBS FEP
—
01
—
Y903N
BCBS
—
Enumeration date
01/31/2007
Last updated
08/22/2020
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