Organization
CRYSTAL REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE MULET (PRESIDENT/OWNER)
(786) 539-8509
Entity
Organization
Contact information
Practice address
85 GRAND CANAL DR, SUITE 302, MIAMI, FL 33144-2561
(786) 539-8509
Mailing address
85 GRAND CANAL DR, SUITE 302, MIAMI, FL 33144-2561
(786) 539-8509
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME55442
FL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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