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Organization
PHOENIX REHAB CENTER CORP
Active
Organization
PHOENIX REHAB CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL LOZADA (OWNER/PRESIDENT)
(239) 841-6797
Entity
Organization
Contact information
Practice address
8500 W FLAGLER ST STE 106, MIAMI, FL 33144-2063
(786) 703-2917
(786) 703-2945
Mailing address
8500 W FLAGLER ST STE 106, MIAMI, FL 33144-2063
(786) 703-2917
(786) 703-2945
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/09/2018
Last updated
01/24/2020
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