Organization
SAN JUDE REHAB AND MEDICAL CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINORAH GONZALEZ (PRESIDENT)
(305) 456-6803
Entity
Organization
Contact information
Practice address
8302 NW 103RD ST, SUITE 202, HIALEAH GARDENS, FL 33016-4697
(305) 456-6803
Mailing address
8302 NW 103RD ST, SUITE 202, HIALEAH GARDENS, FL 33016-4697
(305) 456-6803
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC9743
FL
Other
Enumeration date
01/09/2013
Last updated
07/03/2013
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