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Organization
NBC REHAB INC
Active
Organization
NBC REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA I VASOLO RPT (PRESIDENT)
(305) 970-2125
Entity
Organization
Contact information
Practice address
16390 NE 26TH AVE, NORTH MIAMI BEACH, FL 33160-4004
(305) 970-2125
Mailing address
16390 NE 26TH AVE, NORTH MIAMI BEACH, FL 33160-4004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AI099
LEGACY
FL
Enumeration date
11/19/2007
Last updated
03/17/2008
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