OrganizationActive
Advanced Theragroup of Miami, Inc.
NPI 1962436659 · Health Service Clinic/Center · Doral, FL
Provider details
- NPI number
- 1962436659
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Henry Miralles, President(305) 593-6880
- License
- 6202 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3900 Nw 79th Ave
Suite 815
Doral, FL 33166-6556
Phone: (305) 593-6880
Approximate (ZIP-level) locationGet directions
Mailing address
3900 Nw 79th Ave
Doral, FL 33166-6556
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.