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Organization
SMILE PHYSICAL REHAB, INC
Active
Organization
SMILE PHYSICAL REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON ROSA LMT (OWNER)
(305) 482-0251
Entity
Organization
Contact information
Practice address
8180 NW 36TH ST, SUITE 418, DORAL, FL 33166-6645
(305) 482-0251
(305) 482-0257
Mailing address
8180 NW 36TH ST, SUITE 418, DORAL, FL 33166-6645
(305) 482-0251
(305) 482-0257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MM24906
FL
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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