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Organization
NEW AGE REHAB INC
Active
Organization
NEW AGE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUZ AMPARO BELTRAN-DULCEY RPT (PRESIDENT)
(786) 343-5557
Entity
Organization
Contact information
Practice address
8180 NW 36TH ST, SUITE 100F, DORAL, FL 33166-6645
(786) 343-5557
(305) 229-7261
Mailing address
2248 SW 152ND PL, MIAMI, FL 33185-5710
(786) 343-5557
(305) 229-7261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6826776 96
HOME & COMM BASED SVCS
FL
05
—
885842000
—
FL
Enumeration date
07/14/2005
Last updated
07/25/2013
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