Organization
LIZ REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA GONZALEZ RODRIGUEZ (PRESIDENT)
(305) 982-8364
Entity
Organization
Contact information
Practice address
2750 SW 87TH AVE STE 206, MIAMI, FL 33165-3264
(305) 982-8364
Mailing address
2750 SW 87TH AVE STE 206, MIAMI, FL 33165-3264
(305) 982-8364
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC11671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC11671
AHCA EXEMPTION
FL
Enumeration date
01/15/2015
Last updated
01/15/2015
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