Organization
CORONADO MEDICAL REHABILITATION , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LOVELL (PRESIDENT)
(305) 221-9501
Entity
Organization
Contact information
Practice address
949 SW 122 AVE, MIAMI, FL 33184
(305) 221-9501
(305) 221-9504
Mailing address
949 SW 122ND AVE, MIAMI, FL 33184-2406
(305) 221-9501
(305) 221-9504
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH 5345
FL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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