NPI 1134274749

South Coast Physical Therapy INC

Organisation Preferred Provider Organization Hialeah, FL

Practice location

Address: 4999 W 8th Ave Suite 6, Hialeah, FL 33012-3409
Phone: (305) 821-0100
Fax: (305) 821-0808

Authorised official

Name: Rassoul Abtahi
Title: Physical Therapy President
Phone: (305) 821-0100

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence RPT0004946 (FL)

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Registry record

NPI: 1134274749
Entity type: Organization
NPI issued: 24 Jan 2007
Record last updated: 20 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.