Organization
BLUE HORIZON REHAB MEDICAL, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A LOSADA (PRESIDENT)
(305) 825-6577
Entity
Organization
Contact information
Practice address
4369 W 16TH AVE, HIALEAH, FL 33012-7628
(305) 825-6577
(305) 825-6578
Mailing address
4369 W 16TH AVE, HIALEAH, FL 33012-7628
(305) 825-6577
(305) 825-6578
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA 57137
FL
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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