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NPI Code Detail

MEDICARE: A&W HEALTH SERVICES, LLC

MEDICARE: A&W HEALTH SERVICES, LLC
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
1261QP2000XPhysical Therapy Clinic/CenterPT28103FL

General Provider Information

NPI Number : 1215369350
Entity Type Code : Organization
Provider Name (Legal Business Name) : A&W HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 695419
Second Line :
City : MIAMI
State : FL
Zip : 33269-5419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18921 NW 2ND AVE
Second Line : STE B
City : MIAMI
State : FL
Zip : 33169-4008
Country : US
Telephone Number : 305-816-6627
Fax Number :
Authorized Official
Title or Position : DOCTOR OF PHYSICAL
Name : DR. ALYSIA WILLIAMS
Credential : DPT
Telephone Number : 786-457-3049
Provider Enumeration Date : 07/31/2013
Last Update Date : 07/31/2013

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Directions to “A&W HEALTH SERVICES, LLC ” Practice Location

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