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Organization
FERN MEDICAL AND REHAB CORP
Active
Organization
FERN MEDICAL AND REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUDEL VELOZ (PRESIDENT)
(786) 230-9648
Entity
Organization
Contact information
Practice address
5520 FERN VALLEY RD, 107, LOUISVILLE, KY 40228-1087
(786) 230-9648
Mailing address
5520 FERN VALLEY RD, 107, LOUISVILLE, KY 40228-1087
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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