Organization
FOUNTAINBLEAU REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES COFINO MA (OWNER)
(305) 552-5554
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2G-10, MIAMI, FL 33172-7018
(305) 552-5554
(305) 552-5564
Mailing address
PO BOX 228653, MIAMI, FL 33222-8653
(305) 552-5554
(305) 552-5564
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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