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NPI Code Detail

MEDICARE: MENA THERAPY CORP

MEDICARE: MENA THERAPY CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1215211024
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENA THERAPY CORP
Provider Business Mailing Address
First Line : 10798 SW 43RD LN
Second Line :
City : MIAMI
State : FL
Zip : 33165-4857
Country : US
Telephone Number : 305-763-3576
Fax Number :
Provider Business Practice Location Address
First Line : 10798 SW 43RD LN
Second Line :
City : MIAMI
State : FL
Zip : 33165-4857
Country : US
Telephone Number : 305-763-3576
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : FROILAN MENA
Credential : LMT
Telephone Number : 305-763-3576
Provider Enumeration Date : 09/29/2011
Last Update Date : 09/29/2011

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Directions to “MENA THERAPY CORP ” Practice Location

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