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Organization
ES REHAB PROFESSIONAL CENTER, INC
Active
Organization
ES REHAB PROFESSIONAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL PADRON (OWNER)
(786) 536-6196
Entity
Organization
Contact information
Practice address
5600 SW 135TH AVE STE 216, MIAMI, FL 33183-5101
(786) 536-6196
(786) 558-9425
Mailing address
5600 SW 135TH AVE STE 216, MIAMI, FL 33183-5101
(786) 536-6196
(786) 558-9425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
261QH0100X
Health Service Clinic/Center
AHCA HCC 8958
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108217200
—
FL
05
—
113774600
—
FL
05
—
114848400
—
FL
05
—
118017400
—
FL
Enumeration date
01/07/2011
Last updated
07/17/2024
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