Organization
VESTBULAR REHABILITATION AND DIZZINESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUEBEN POZO P.T. MSHSA (PRESIDENT)
(561) 236-4523
Entity
Organization
Contact information
Practice address
2515 S STATE ROAD 7, SUITE 210, WELLINGTON, FL 33414-9334
(561) 236-4523
(561) 642-8210
Mailing address
6508 BLUE BAY CIR, LAKE WORTH, FL 33467-7219
(561) 236-4523
(561) 436-9146
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT8467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12449295
CAQH
FL
Enumeration date
11/20/2012
Last updated
11/20/2012
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