| Supreme Ely Therapy Center Inc | |
|
10262 Nw 131st St Hialeah FL 33018-1208 | |
| (305) 608-4759 | |
| Not Available |
| Full Name | Supreme Ely Therapy Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 10262 Nw 131st St, Hialeah, Florida |
| Authorized Official Name and Position | Yadira Machado Ferrer (OWNER) |
| Authorized Official Contact | 3056084759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Ely Therapy Center Inc 10262 Nw 131st St Hialeah FL 33018-1208 Ph: (305) 608-4759 | Supreme Ely Therapy Center Inc 10262 Nw 131st St Hialeah FL 33018-1208 Ph: (305) 608-4759 |
| NPI Number | 1871331322 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871331322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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