HIGH CLASS THERAPY
Ambulatory Health at Coral Way, Miami, FL

License number
Florida ACN366
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: ORLANDO E LEIVA ACN
Title: RENDERING PHYSCICIAN
Phone: (305) 772-1938
Address
Address
7821 Coral Way, Miami, FL 33155
National Provider ID: 1508281932
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HIGH CLASS THERAPY CORP

Miami, FL

Registration:
Oct 11, 2013
Addresses:
7815 SW 24, Miami, FL 33155 (Physical)
7821 Coral Way, Miami, FL 33155
7815 Coral Way, Miami, FL 33155
State ID:
P13000084011
Business type:
Florida Profit Corporation
President:
Greco Cejas (President), 7815 SW 24, Miami, FL 33155 (Physical)
Agent:
Cejas, Greco,6520 NW 25 Ave, Miami, FL 33147 (Physical)
EIN:
46-3879696

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