Organization
GARDENS MEDICAL REHAB INC
Active
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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