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1699378349
PRO ACTIVE THERAPEUTICS
MIAMI, FL
NPI
1699378349
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Entity Type
Organization
Authorized Contact
PEDRO MIGUEL LOPEZ
Manager
305-389-3978
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
PRO ACTIVE THERAPEUTICS
4280 SW 73RD AVE
MIAMI, FL 33155-4548
Phone number: 305-389-3978
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Mailing Address
PRO ACTIVE THERAPEUTICS
11884 SW 253RD ST
HOMESTEAD, FL 33032-5863
Phone number: 305-389-3978
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