Organization
EQUILIBRIUM INN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSDANY COLLADO FUENTES MD (OWNER)
(305) 502-3553
Entity
Organization
Contact information
Practice address
11140 N KENDALL DR STE 110, MIAMI, FL 33176-0901
(786) 334-2494
Mailing address
13818 SW 152ND ST, MIAMI, FL 33177-1164
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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