Organization
WEST KENDALL REHAB CENTER INC
Active
Organization
WEST KENDALL REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN LAFATA DC (OWNER)
(305) 235-5595
Entity
Organization
Contact information
Practice address
13501 SW 128TH ST, SUITE 116, MIAMI, FL 33186-5882
(305) 235-5595
(305) 235-5594
Mailing address
13501 SW 128TH ST, SUITE 116, MIAMI, FL 33186-5882
(305) 235-5595
(305) 235-5594
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MM 24754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC 8704
FLORIDA HEALTH DEPARTMENT
FL
Enumeration date
09/14/2011
Last updated
09/14/2011
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