| |
13717 Sw 152nd St, Miami, FL 33177-1106 | |
(305) 800-3253 | |
(305) 203-0546 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 13717 Sw 152nd St, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407359870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT11471 (Florida) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
13717 Sw 152nd St, Miami, FL 33177-1106 Ph: (305) 800-3253 | 13717 Sw 152nd St, Miami, FL 33177-1106 Ph: (305) 800-3253 |