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Organization

ST. JUDES REHAB SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEONARDO A CHAVEZ M.A (PRESIDENT)
(305) 648-6220
Entity
Organization

Contact information

Practice address
6595 NW 36TH ST # C218, VIRGINIA GARDENS, FL 33166-6979
(305) 526-1408
Mailing address
3900 NW 79TH AVE STE 468, DORAL, FL 33166-6548
(305) 648-6220

Taxonomy

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

Other

Enumeration date
09/18/2009
Last updated
06/06/2014
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