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Organization
CELEBRITY REHAB INC
Active
Organization
CELEBRITY REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNIE HERNANDEZ (PRESIDENT)
(786) 515-9771
Entity
Organization
Contact information
Practice address
50 NW 15TH ST, SUITE 101, HOMESTEAD, FL 33030-4266
(786) 515-9771
(305) 248-2780
Mailing address
50 NW 15TH ST, SUITE 101, HOMESTEAD, FL 33030-4266
(786) 515-9771
(305) 248-2780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9589
FL
170100000X
Ph.D. Medical Genetics
ME28403
FL
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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