Healthcare Provider Details

I. General information

NPI: 1780118760
Provider Name (Legal Business Name): BODY BY ABBATE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13944 SW 8TH ST STE 202
MIAMI FL
33184
US

IV. Provider business mailing address

13944 SW 8TH ST STE 202
MIAMI FL
33184
US

V. Phone/Fax

Practice location:
  • Phone: 305-335-3978
  • Fax:
Mailing address:
  • Phone: 305-335-3978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CORY ABBATE
Title or Position: PRESIDENT
Credential: DPT
Phone: 305-335-3978