Organization
GREEN MILE RAHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA E GEGUNDE (PRESIDENT)
(305) 322-5219
Entity
Organization
Contact information
Practice address
1800 SW 27TH AVE, SUITE 403, MIAMI, FL 33145-2457
(305) 322-5219
Mailing address
1800 SW 27TH AVE, SUITE 403, MIAMI, FL 33145-2457
(305) 322-5219
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA59471
FL
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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