Organization
VISTA REHAB CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO M CASTENEDA (MASSAGE THERAPY)
(786) 888-1097
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 1G2, MIAMI, FL 33172-4511
(786) 888-1097
(786) 888-1098
Mailing address
175 FONTAINEBLEAU BLVD. STE 1G-2, MIAMI, FLORIDA 33172
(786) 888-1097
(786) 888-1098
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA 52398
FL
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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