Organization
ELITE REHABILITATION SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN C PADILLA SR. (MANAGER)
(561) 585-0040
Entity
Organization
Contact information
Practice address
2125 10TH AVE N, LAKE WORTH, FL 33461-3349
(561) 585-0040
(561) 585-0043
Mailing address
2125 10TH AVE NORTH, LAKE WORTH, FL 33461
(561) 585-0040
(561) 585-0043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 4496
FL
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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