Organization
MAGIC MILE REHAB P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA CONSTANZA CRUZ ITDS (PRESIDENT)
(786) 287-8087
Entity
Organization
Contact information
Practice address
18396 NW 6TH ST, PEMBROKE PINES, FL 33029-3678
(786) 287-8087
Mailing address
18396 NW 6TH ST, PEMBROKE PINES, FL 33029-3678
(786) 287-8087
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
08/09/2023
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