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Organization

CLINICA NEUROREHABILITAR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANA LUCIA COLLAZOS (OFFICE ADMINISTRATOR)
(786) 646-7256
Entity
Organization

Contact information

Practice address
2030 S DOUGLAS RD STE 109, CORAL GABLES, FL 33134-4615
(786) 961-5799
Mailing address
2030 S DOUGLAS RD STE 109, CORAL GABLES, FL 33134-4615
(786) 961-5799

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
261QH0700X
Hearing and Speech Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124674023
FL
Enumeration date
02/09/2023
Last updated
02/09/2023
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