Organization
BLUE SKY MEDICAL & REHAB CENTER LLC
Active
Other names
BLUE SKY MEDICAL& REHAB CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSEL CASADO (MANAGER)
(786) 360-5306
Entity
Organization
Contact information
Practice address
2337 W 76TH ST, HIALEAH, FL 33016-1842
(786) 360-5306
(786) 637-2363
Mailing address
2337 W 76TH ST, HIALEAH, FL 33016-1842
(786) 360-5306
(786) 637-2363
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/16/2019
Last updated
05/12/2021
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