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Organization
MIAMI DADE MEDICAL AND REHABILITATION CENTER CORP
Active
Organization
MIAMI DADE MEDICAL AND REHABILITATION CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERASMO MENENDEZ (CFO)
(786) 334-6928
Entity
Organization
Contact information
Practice address
760 NW 107TH AVE STE 406, MIAMI, FL 33172-3162
(786) 334-6928
(786) 828-7919
Mailing address
760 NW 107TH AVE STE 406, MIAMI, FL 33172-3162
(786) 334-6928
(786) 828-7919
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/28/2021
Last updated
10/17/2023
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