South Miami Sports Medicine Inc.
NPI #1013211705 in South Miami, Florida
Provider Information
- NPI Number
- 1013211705
- Entity Type
- Organization
- Organization Name
- South Miami Sports Medicine Inc.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jan 10, 2011
- Last Updated
- Jan 10, 2011
Practice Location
- Address
- 7000 SW 62ND AVE
- Address 2
- SUITE 120
- City
- South Miami
- State
- Florida
- ZIP Code
- 33143-4716
- Phone
- (305) 666-7168
Authorized Official
- Name
- MR. ROBERT A MILLARES, OTRL,CHT
- Title
- PRESIDENT/OWNER
- Phone
- (305) 666-7116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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