# EDEN REHAB AND SPA INC

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

## Provider details

- **NPI number:** 1962702647
- **Authorized official:** MISS YENISLEY CARNET (PRESIDENT)
- **Authorized official phone:** (786) 443-2201

## Contact information

- **Practice address:** 1 GLEN ROYAL PKWY, 301, MIAMI, FL 33125-5287
- **Practice address phone:** (786) 443-2201
- **Mailing address:** 1 GLEN ROYAL PKWY, 301, MIAMI, FL 33125-5287
- **Mailing address phone:** (786) 443-2201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2010
- **Last updated:** 10/27/2010