Organization
CADC CORP - MIRACLE REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS A IBANEZ RN (ADMINISTRATOR)
(305) 266-4048
Entity
Organization
Contact information
Practice address
7944 SW 8TH ST, MIAMI, FL 33144-4209
(305) 266-4048
(305) 266-4049
Mailing address
7944 SW 8TH ST, MIAMI, FL 33144-4209
(305) 266-4048
(305) 266-4049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT107
FL
Other
Enumeration date
01/16/2006
Last updated
06/30/2008
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