Organization
PHOENIX MEDICAL REHAB INC
Active
Organization
PHOENIX MEDICAL REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYANIS TAMAYO (OWNER)
(305) 972-4929
Entity
Organization
Contact information
Practice address
2711 SW 137TH AVE STE 97A, MIAMI, FL 33175-6361
(305) 972-4929
Mailing address
2711 SW 137TH AVE STE 97A, MIAMI, FL 33175-6361
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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