Organization
MIRACLE HEALING REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYSI SALINAS (DIRECTOR OF OPERATIONS/OWNER)
(813) 205-4469
Entity
Organization
Contact information
Practice address
8140 W WATERS AVE, SUITE D, TAMPA, FL 33615-1859
(813) 885-1202
Mailing address
8140 W WATERS AVE, SUITE D, TAMPA, FL 33615-1859
(813) 885-1202
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
FL
Other
Enumeration date
10/12/2007
Last updated
12/17/2007
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