Organization
CB PHENIX REHABILITATION CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO MARTINEZ M.M (OWNER)
(305) 557-6188
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE, SUITE 226-U, HIALEAH, FL 33012-4654
(305) 557-6188
(305) 557-6199
Mailing address
3750 W 16TH AVE, SUITE 226-U, HIALEAH, FL 33012-4654
(305) 557-6188
(305) 557-6199
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC7764
FL
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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