Organization
SUN PROFESSIONAL REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL A ALVAREZ (PRESIDENT)
(305) 456-1863
Entity
Organization
Contact information
Practice address
8100 W FLAGLER ST, 203, MIAMI, FL 33144-2155
(305) 456-1863
(305) 456-1983
Mailing address
8100 W FLAGLER ST, 203, MIAMI, FL 33144-2155
(305) 456-1863
(305) 456-1983
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC10314
AHCA
FL
Enumeration date
03/10/2015
Last updated
03/10/2015
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