Organization
CORAL MEDICAL REHAB-CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO E ALFONSO (PRESIDENT)
(305) 228-7432
Entity
Organization
Contact information
Practice address
9778 SW 24TH ST, MIAMI, FL 33165-7574
(305) 228-7432
Mailing address
9778 SW 24TH ST, MIAMI, FL 33165-7574
(305) 228-7432
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME83615
FL
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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