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Organization

MAGIC MILE REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA C CRUZ (PRESIDENT)
(786) 287-8087
Entity
Organization

Contact information

Practice address
17148 SW 137 PL, MIAMI, FL 33177
(786) 287-8087
(305) 254-3883
Mailing address
17148 SW 137TH PL, MIAMI, FL 33177-2188
(786) 287-8087
(305) 254-3883

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
FL

Other

Enumeration date
06/16/2011
Last updated
07/15/2011
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