Organization
NEW LIFE REHAB MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER JUAN (PRESIDENT OWNER)
(305) 403-2345
Entity
Organization
Contact information
Practice address
1560 W 37TH ST, HIALEAH, FL 33012-4624
(305) 403-2345
(305) 403-2346
Mailing address
1560 W 37TH ST, HIALEAH, FL 33012-4624
(305) 403-2345
(305) 403-2346
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6968
AHCA LICENSE
FL
Enumeration date
07/25/2007
Last updated
03/13/2008
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