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Organization
MIAMI NEUROLOGY & REHABILITATION SPECIALISTS
Active
Organization
MIAMI NEUROLOGY & REHABILITATION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MARTIN PT (OWNER)
(305) 661-8040
Entity
Organization
Contact information
Practice address
5975 SUNSET DR STE 405, SOUTH MIAMI, FL 33143-5198
(305) 661-8040
(305) 661-8891
Mailing address
5975 SUNSET DR STE 405, SOUTH MIAMI, FL 33143-5198
(305) 661-8040
(305) 661-8891
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
607277300
—
FL
01
—
7698606
AETNA
FL
Enumeration date
09/18/2007
Last updated
08/29/2024
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