Organization
MADISSON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NILDA GRAVERAN (PRESIDENT)
(305) 817-0838
Entity
Organization
Contact information
Practice address
5881 NW 151ST ST, SUITE 103, MIAMI LAKES, FL 33014-2455
(305) 817-0838
(305) 817-0837
Mailing address
5881 NW 151ST ST, SUITE 103, MIAMI LAKES, FL 33014-2455
(305) 817-0838
(305) 817-0837
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
FL
Other
Enumeration date
05/19/2006
Last updated
10/09/2008
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