Organization
CLINICAL THERAPY OF MIAMI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO J LOPEZ (PRESIDENT)
(305) 593-5121
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, STE 729, DORAL, FL 33166-6556
(305) 593-5121
(305) 593-5488
Mailing address
3900 NW 79TH AVE, STE 729, DORAL, FL 33166-6556
(305) 593-5121
(305) 593-5488
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AHCA HCC10086
FL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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