Organization
GM REHABILITATION EG CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO GONZALEZ (PRESIDENT/OWNER)
(305) 275-4462
Entity
Organization
Contact information
Practice address
10240 SW 56 ST, SUITE #102, MIAMI, FL 33165
(305) 275-4462
(305) 275-3791
Mailing address
10240 SW 56 ST, SUITE #102, MIAMI, FL 33165
(305) 275-4462
(305) 275-3791
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/11/2006
Last updated
12/21/2009
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