Organization · NPI-2

123 Therapy INC.

Contractor · Miami, FL

NPI number1215801618
StatusActive
Last updated in NPPESSep 30, 2025

Details

NPI
1215801618
Entity type
Organization (NPI-2)
Legal business name
123 Therapy INC.
Organization subpart
No
Enumeration date
Sep 30, 2025
Certification date
Sep 30, 2025
Last updated
Sep 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

14040 Nw 7th Ave
Miami, FL 33168-6809

Phone 305-651-9311

Mailing address

14040 Nw 7th Ave
Miami, FL 33168-6809

Phone 305-651-9311

Authorized official

Mariana Talarico De Nolasco
Owner
3056519311

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