Organization
DE LA ROSA WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO DE LA ROSA (PRESIDENT)
(786) 360-2046
Entity
Organization
Contact information
Practice address
7392 NW 35TH TER STE 310, MIAMI, FL 33122-1260
(786) 360-2046
Mailing address
7392 NW 35TH TER STE 310, MIAMI, FL 33122-1260
(786) 360-2046
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MA35823
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
MA35823
FL
261QR0400X
Rehabilitation Clinic/Center
MA35823
FL
Other
Enumeration date
02/14/2017
Last updated
02/20/2017
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