Organization
WELLNESS REHAB OF SOUTH FLORIDA INC.
Active
Organization
WELLNESS REHAB OF SOUTH FLORIDA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIRILENA M VIANA (CEO)
(561) 866-7794
Entity
Organization
Contact information
Practice address
1600 S FEDERAL HWY STE 550, POMPANO BEACH, FL 33062-7518
(561) 866-7794
(954) 657-8358
Mailing address
1600 S FEDERAL HWY STE 550, POMPANO BEACH, FL 33062-7518
(561) 866-7794
(954) 657-8358
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P17000009153
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P17000009153
DOCUMENT NUMBER
FL
Enumeration date
04/13/2017
Last updated
04/13/2017
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