Provider Demographics
NPI:1306177324
Name:ABI THERAPY CENTER, CORP
Entity type:Organization
Organization Name:ABI THERAPY CENTER, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGARRA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-599-8576
Mailing Address - Street 1:8051 NW 36TH ST
Mailing Address - Street 2:SUITE 601
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6626
Mailing Address - Country:US
Mailing Address - Phone:305-599-8576
Mailing Address - Fax:305-599-8570
Practice Address - Street 1:8051 NW 36TH ST
Practice Address - Street 2:SUITE 601
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6626
Practice Address - Country:US
Practice Address - Phone:305-599-8576
Practice Address - Fax:305-599-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM24057261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy