# ORTHOPEDIC REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669627709
- **Authorized official:** GREGORY NICHOLAS MAZZOTLA D.C. (BUSINESS OWNER/CHIROPRACTOR)
- **Authorized official phone:** (305) 445-5056

## Contact information

- **Practice address:** 2601 SW 37TH AV \#607, MIAMI, FL 33133
- **Practice address phone:** (305) 445-5056
- **Practice address fax:** (305) 445-2023
- **Mailing address:** 2601 SW 37TH AV \#607, MIAMI, FL 33133
- **Mailing address phone:** (305) 445-5056
- **Mailing address fax:** (305) 445-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH8707 | FL | — |
| 207X00000X | Orthopaedic Surgery Physician | ME98523 | FL | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 11/18/2008