Organization
SOUTH MIAMI REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MANZANO (PRESIDENT)
(786) 237-9720
Entity
Organization
Contact information
Practice address
8390 W FLAGLER ST, SUITE 201, MIAMI, FL 33144-2039
(305) 480-5688
(305) 480-5680
Mailing address
8390 W FLAGLER ST, SUITE 201, MIAMI, FL 33144-2039
(305) 480-5688
(305) 480-5680
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
683224
FL
Other
Enumeration date
12/29/2005
Last updated
09/18/2007
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