Organization
C & G REHAB SERV CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARQUIMIDES PUPO (ADMINISTRATOR)
(305) 863-6585
Entity
Organization
Contact information
Practice address
7911 NW 72ND AVE, STE 118A, MEDLEY, FL 33166
(305) 863-6585
(305) 863-6583
Mailing address
7911 NW 72ND AVE, STE 118A, MEDLEY, FL 33166
(305) 863-6585
(305) 863-6583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
686706
FL
Other
Enumeration date
02/07/2006
Last updated
06/18/2008
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