Organization
1 PARADISE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRENIA BUSTILLO (PRESIDENT)
(786) 333-3369
Entity
Organization
Contact information
Practice address
13155 SW 134TH ST, STE 221, MIAMI, FL 33186-4486
(786) 333-3369
(305) 677-9048
Mailing address
13155 SW 134TH ST, STE 221, MIAMI, FL 33186-4486
(786) 333-3369
(305) 677-9048
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
08/09/2010
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