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Organization

ADVANCED REHAB GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE MIRANDA (OWNER/DIRECTOR)
(305) 444-0114
Entity
Organization

Contact information

Practice address
3899 NW 7TH ST, 224, MIAMI, FL 33126-5551
(305) 444-0114
(305) 444-0113
Mailing address
3899 NW 7TH ST, 224, MIAMI, FL 33126-5551
(305) 444-0114
(305) 444-0113

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
HCC9695
FL

Other

Enumeration date
07/21/2015
Last updated
07/21/2015
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