Organization
PALM REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO J HERRERA (PRESIDENT OWNER)
(305) 821-7383
Entity
Organization
Contact information
Practice address
258 E 49TH ST, HIALEAH, FL 33013-1855
(305) 821-7383
(305) 821-6404
Mailing address
258 E 49TH ST, HIALEAH, FL 33013-1855
(305) 821-7383
(305) 821-6404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC4235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC4235
AHCA LICENSE
FL
Enumeration date
05/20/2007
Last updated
08/22/2020
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