Organization
ADVANTGARDE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN R ENRIQUEZ (OWNER)
(305) 225-4440
Entity
Organization
Contact information
Practice address
11890 SW 8TH ST, SUITE 301, MIAMI, FL 33184-1743
(305) 225-4440
(305) 225-4441
Mailing address
11890 SW 8TH ST, SUITE 301, MIAMI, FL 33184-1743
(305) 225-4440
(305) 225-4441
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MM25220
FL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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