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Organization
DMY REHAB CENTER
Active
Organization
DMY REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIVYS FLORES (OWNER)
(813) 443-8223
Entity
Organization
Contact information
Practice address
3550 W WATERS AVE, SUITE 101, TAMPA, FL 33614-2716
(813) 443-8223
(813) 374-0395
Mailing address
3550 W WATERS AVE, SUITE 101, TAMPA, FL 33614-2716
(813) 443-8223
(813) 374-0395
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC8923
FL
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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