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Organization

MIRACLE REHAB CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YANESKY VAZQUEZ (PRESIDENT)
(305) 817-1140
Entity
Organization

Contact information

Practice address
7590 NW 186TH ST, STE 209, HIALEAH, FL 33015-2952
(305) 817-1140
Mailing address
7590 NW 186TH ST, STE 209, HIALEAH, FL 33015-2952
(305) 817-1140

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
08/23/2011
Last updated
08/23/2011
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