Organization
ST JUDE REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIHEYA MOLINA GONZALEZ MA (PRESIDENT/MASSAGE THERAPIST)
(305) 441-7640
Entity
Organization
Contact information
Practice address
3934 SW 8TH ST, SUITE 308, CORAL GABLES, FL 33134-2949
(305) 441-7640
(305) 441-7665
Mailing address
3934 SW 8TH ST, SUITE 308, CORAL GABLES, FL 33134-2949
(305) 441-7640
(305) 441-7665
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 8127
AHCA EXEMPT HCC UNIT
FL
Enumeration date
10/17/2013
Last updated
10/17/2013
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