Organization
MDD REHAB CENTER. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO Y ENRIQUEZ L.M.T (OWNER)
(305) 884-1919
Entity
Organization
Contact information
Practice address
6907 NW 77TH AVE, MIAMI, FL 33166-2835
(305) 884-1919
(305) 884-1969
Mailing address
6907 NW 77TH AVE, MIAMI, FL 33166-2835
(305) 884-1919
(305) 884-1969
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA68429
FL
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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