# SPECIALTY MEDICAL INC

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

## Provider details

- **NPI number:** 1699967406
- **Authorized official:** MR. SERGIO SHELTON (OWNER)
- **Authorized official phone:** (305) 698-1895

## Contact information

- **Practice address:** 3750 W 16TH AVE, SUITE 238 U, HIALEAH, FL 33012-4654
- **Practice address phone:** (305) 698-1895
- **Practice address fax:** (305) 698-1897
- **Mailing address:** 3750 W 16TH AVE, SUITE 238 U, HIALEAH, FL 33012-4654
- **Mailing address phone:** (305) 698-1895
- **Mailing address fax:** (305) 698-1897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 12/18/2007