Organization
COAST TO COAST COMPREHENSIVE REHAB SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS F ROA PT (PRESIDENT)
(305) 456-0901
Entity
Organization
Contact information
Practice address
14750 SW 26TH ST, SUITE#114, MIAMI, FL 33185-5933
(305) 456-0901
(305) 456-0906
Mailing address
14750 SW 26TH ST, SUITE#114, MIAMI, FL 33185-5933
(305) 456-0901
(305) 456-0906
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT22682
FL
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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