Organization
EXCEPTIONAL KIDZ REHAB ACADEMY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSINA E LEVY (PRESIDENT)
(305) 310-3267
Entity
Organization
Contact information
Practice address
1414 NW 107TH AVE, SUITE 204, DORAL, FL 33172-2732
(305) 310-3267
(305) 594-9282
Mailing address
1414 NW 107TH AVE, SUITE 204, DORAL, FL 33172-2732
(305) 310-3267
(305) 594-9282
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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