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Organization
305 REHAB CENTER INC
Active
Organization
305 REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER DIAZ (PERSIDENT)
(786) 916-0707
Entity
Organization
Contact information
Practice address
943 SW 122ND AVE, SUITE B, MIAMI, FL 33184-2406
(786) 916-0707
Mailing address
943 SW 122 AVENUE, SUITE B, MIAMI, FL 33184
(786) 916-0707
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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