Organization
WAVES ON WHEELS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAGOBERTO NAVIA LA ROSA (PRESIDENT)
(305) 222-6002
Entity
Organization
Contact information
Practice address
2740 SW 97TH AVE, MIAMI, FL 33165-2681
(305) 222-6002
(305) 222-6003
Mailing address
2740 SW 97TH AVE, MIAMI, FL 33165-2681
(305) 222-6002
(305) 222-6003
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA62793
FL
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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