Active Sports Medicine Center, LLC
NPI #1215171079 in South Miami, Florida
Provider Information
- NPI Number
- 1215171079
- Entity Type
- Organization
- Organization Name
- Active Sports Medicine Center, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 23, 2009
- Last Updated
- Apr 23, 2009
Practice Location
- Address
- 5995 SW 71ST ST
- City
- South Miami
- State
- Florida
- ZIP Code
- 33143-3500
- Phone
- (305) 275-6346
Authorized Official
- Name
- OSVALDO PEREZ, PT
- Title
- OWNER
- Phone
- (305) 275-6346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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| MS. Ana M Mendieta, MSPT | |
| MRS. Amanda Maria Witherspoon, DPT |
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