Organization
VA PHYSICAL REHABILITATION CORP
Active
Organization
VA PHYSICAL REHABILITATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN I VALLES (PRESIDENT/OWNER)
(305) 778-6071
Entity
Organization
Contact information
Practice address
974 OLD DIXIE HWY STE A, HOMESTEAD, FL 33030-4933
(305) 778-6071
(786) 292-2842
Mailing address
974 OLD DIXIE HWY STE A, HOMESTEAD, FL 33030-4933
(305) 778-6071
(786) 292-2842
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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