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Organization
ST. JUDES REHAB SERVICES, INC.
Active
Organization
ST. JUDES REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARDO A CHAVEZ M.A (PRESIDENT)
(305) 648-6220
Entity
Organization
Contact information
Practice address
6595 NW 36TH ST # C218, VIRGINIA GARDENS, FL 33166-6979
(305) 526-1408
Mailing address
3900 NW 79TH AVE STE 468, DORAL, FL 33166-6548
(305) 648-6220
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
06/06/2014
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