Organization
PREMIUM REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L VALDEZ (OWNER)
(305) 389-0120
Entity
Organization
Contact information
Practice address
12741 SW 42ND ST, STE 121, MIAMI, FL 33175-3429
(305) 389-0120
(305) 602-9351
Mailing address
12741 SW 42ND ST, STE 121, MIAMI, FL 33175-3429
(305) 389-0120
(305) 602-9351
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
FL
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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