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Organization

EARLY TIME MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABEL RIVERA (PRESIDENT)
(786) 774-7281
Entity
Organization

Contact information

Practice address
1275 W 47TH PL, SUITE 305, HIALEAH, FL 33012-3394
(786) 774-7281
Mailing address
1275 W 47TH PL, SUITE 305, HIALEAH, FL 33012-3394

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
AHCA 10275
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10275
AHCA
FL
Enumeration date
01/05/2017
Last updated
01/05/2017
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