Organization
GARDENS MEDICAL REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE JOSE DE LA COTERA LMT (PRESIDENT)
(305) 698-3482
Entity
Organization
Contact information
Practice address
5590 W 20TH AVE STE 204, HIALEAH, FL 33016-7061
(305) 698-3482
(305) 698-3489
Mailing address
5590 W 20TH AVE STE 204, HIALEAH, FL 33016-7061
(305) 698-3482
(305) 698-3489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM25119
FL
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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