Provider Profile
MED THERAPY & SPA INC
Health Care Clinic
FACILITY PROFILE
Street Address
- 7241 SW 63 AVE 201
MIAMI, FL 33143
County: Miami-Dade - Phone: (305) 859-0099
Mailing Address
- 7241 SW 63 AVE 201
MIAMI, FL 33143
County: Miami-Dade - Phone: (305) 859-0099
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
Facility/Provider Type: | Health Care Clinic | ||||||
Medical or Clinic Director: | MARIA ALEJANDRA IBANEZ | ||||||
Administrator: | ROBERT SARDINA | ||||||
Owner/Licensee: | MED THERAPY & SPA, INC | ||||||
Owner/Licensee Since: | 7/30/2018 | ||||||
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Profit Status: | For-Profit | ||||||
Licensed Beds: | Not Available | ||||||
AHCA Number (File Number): | 12244 | ||||||
AHCA Field Office: | 11 | ||||||
License Number: | 11513 | ||||||
Current License Effective: | 12/26/2024 | ||||||
Current License Expires: | 12/25/2026 | ||||||
License Status: | LICENSED |
Services/Characteristics
Specialty: | PIP Recipient |
Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.