Organization
ACL HEALTH CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMBER MEDINA RAMENTOL (OWNER)
(786) 208-6744
Entity
Organization
Contact information
Practice address
2721 SW 137TH AVE STE 102, MIAMI, FL 33175-6355
(786) 208-6744
Mailing address
2721 SW 137TH AVE STE 102, MIAMI, FL 33175-6355
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13215
AHCA
FL
Enumeration date
01/18/2022
Last updated
01/18/2022
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