Organization
PRIME REHAB MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLANCA N GONZALEZ M.D. (MEDICAL DIRECTOR)
(786) 370-1659
Entity
Organization
Contact information
Practice address
1140 W 50TH ST, STE 311, HIALEAH, FL 33012-3440
(786) 370-1659
(786) 370-1659
Mailing address
1140 W 50TH ST, STE 311, HIALEAH, FL 33012-3440
(786) 370-1659
(786) 370-1659
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME106369
FL
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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