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Organization
NOVA REHABILITATION, INC
Active
Organization
NOVA REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS GUILLERMO COLLADO MOT, R/L (PRESIDENT)
(305) 979-9988
Entity
Organization
Contact information
Practice address
10765 SW 104TH ST, MIAMI, FL 33176-8164
(305) 979-9988
(844) 273-4740
Mailing address
10765 SW 104TH ST, MIAMI, FL 33176-8164
(305) 979-9988
(844) 273-4740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886329600
—
FL
Enumeration date
03/21/2006
Last updated
01/29/2016
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