Organization
AJS REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA GONZALEZ (PRESIDENT)
(786) 287-9451
Entity
Organization
Contact information
Practice address
4343 W FLAGLER ST, 406, CORAL GABLES, FL 33134-1586
(786) 287-9451
(786) 360-3615
Mailing address
4343 W FLAGLER ST, 406, CORAL GABLES, FL 33134-1586
(786) 287-9451
(786) 360-3615
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 8542
AHCA EXEMPT HCC UNIT
FL
Enumeration date
08/02/2010
Last updated
08/02/2010
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