Therapy Sport Medical Corp
NPI #1023392297 in Virginia Gardens, Florida
Provider Information
- NPI Number
- 1023392297
- Entity Type
- Organization
- Organization Name
- Therapy Sport Medical Corp
- Primary Specialty
- General Practice
- Enumeration Date
- Oct 5, 2011
- Last Updated
- Oct 5, 2011
Practice Location
- Address
- 6555 NW 36TH ST
- Address 2
- SUITE 214
- City
- Virginia Gardens
- State
- Florida
- ZIP Code
- 33166-6978
- Phone
- (305) 526-8229
Authorized Official
- Name
- HISELA M CASTRO
- Title
- PRESIDENT
- Phone
- (305) 526-8229
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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