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Organization
SOUTH BAY REHAB INC
Active
Organization
SOUTH BAY REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANCA VAZQUEZ (PRESIDENT)
(305) 300-9241
Entity
Organization
Contact information
Practice address
1850 SW 8TH ST, 302, MIAMI, FL 33135-3433
(305) 300-9241
Mailing address
PO BOX 140151, CORAL GABLES, FL 33114-0151
(305) 300-9241
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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