Organization
PALM REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE HERNANDEZ (OWNER)
(305) 603-9956
Entity
Organization
Contact information
Practice address
1275 W 47TH PL STE 422, HIALEAH, FL 33012-3452
(305) 603-9956
(305) 456-8291
Mailing address
1275 W 47TH PL STE 422, HIALEAH, FL 33012-3452
(305) 603-9956
(305) 456-8291
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC9062
FL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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