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Organization
ST LOUIS REHABILITATION PROGRAM INC.
Active
Organization
ST LOUIS REHABILITATION PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEBASTIAN N SILVERA (ADMINISTRATOR)
(305) 470-6263
Entity
Organization
Contact information
Practice address
4005 NW 114TH AVE, SUITE 5, DORAL, FL 33178-4374
(305) 470-6263
(305) 470-6540
Mailing address
4005 NW 114TH AVE, SUITE 5, DORAL, FL 33178-4374
(305) 470-6263
(305) 470-6540
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
FL
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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