Organization
LIGHT REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RODRIGUEZ MURO (PRESIDENT)
(561) 429-4176
Entity
Organization
Contact information
Practice address
3060 JOG RD, GREENACRES, FL 33467-2052
(561) 429-4176
Mailing address
3060 JOG RD, GREENACRES, FL 33467-2052
(561) 429-4176
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
ME105283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME105283
STATE LICENSE
FL
Enumeration date
01/29/2012
Last updated
01/29/2012
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