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Organization
SOUTHERN CORF, INC.
Active
Organization
SOUTHERN CORF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINA MENDEZ (CEO)
(786) 554-3854
Entity
Organization
Contact information
Practice address
770 PONCE DE LEON BLVD, SUITE 101, CORAL GABLES, FL 33134-2065
(305) 774-4644
(305) 774-4648
Mailing address
770 PONCE DE LEON BLVD, SUITE 1, CORAL GABLES, FL 33134-2065
(305) 774-4644
(305) 774-4648
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
09/10/2008
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