Organization
PLASENCIA MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLO PLASENCIA (OWNER)
(786) 270-6115
Entity
Organization
Contact information
Practice address
959 SW 122ND AVE, MIAMI, FL 33184-2406
(786) 270-6115
Mailing address
66 W 20TH ST, HIALEAH, FL 33010-2610
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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