Organization
A. B. CHAMP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYONEL CHAMPAGNE OTR/L (PRESIDENT)
(954) 557-5651
Entity
Organization
Contact information
Practice address
9999 NE 2ND AVE STE 202, MIAMI SHORES, FL 33138-2345
(305) 751-0011
Mailing address
9999 NE 2ND AVE STE 202, MIAMI SHORES, FL 33138-2345
(305) 751-0011
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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