| NPI | 1891223145 |
|---|---|
| Former Legal Business Name | CORALTHERAPY GROUP INC |
| Entity Type | Organization |
| Authorized Contact | GISELLE IBANEZ President 305-586-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |