PULYTERAPIA SPA CORP
Ambulatory Health in Miami, FL

License number
Florida MA-65381
Category
Ambulatory Health
Type
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Owner
Name: MRS. JUDITH MOURINO MA
Title: PRESIDENT
Phone: (786) 970-2542
Address
Address
9369 Fountainbleau Blvd APT J108, Miami, FL 33172
National Provider ID: 1902174683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PULYTERAPIA SPA CORP

Miami, FL

Industry:
Physical Fitness Facility
Registration:
Nov 28, 2011
Addresses:
9351 Fountainbleu Blvd C 101, Miami, FL 33172 (Physical)
9369 Fontainebleau Blvd, Miami, FL 33172
State ID:
P11000101722
Business type:
Florida Profit Corporation
President:
Judith Mourino (President), 9351 Fountainbleu Blvd, Miami, FL 33172 (Physical)
Agent:
Mourino, Judith,9351 Fountainbleu Blvd, Miami, FL 33172 (Physical)
EIN:
45-3720497

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