Organization
GRAND MEDICAL REHAB CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASSET DOMINGUEZ (PRESIDENT)
(786) 420-5594
Entity
Organization
Contact information
Practice address
10491 SW 88TH ST, SUITE F-201, MIAMI, FL 33176-1597
(786) 420-5594
Mailing address
10491 SW 88TH ST, SUITE F-201, MIAMI, FL 33176-1597
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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