Organization
ORTHOPEDIC REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY NICHOLAS MAZZOTLA D.C. (BUSINESS OWNER/CHIROPRACTOR)
(305) 445-5056
Entity
Organization
Contact information
Practice address
2601 SW 37TH AV #607, MIAMI, FL 33133
(305) 445-5056
(305) 445-2023
Mailing address
2601 SW 37TH AV #607, MIAMI, FL 33133
(305) 445-5056
(305) 445-2023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8707
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME98523
FL
Other
Enumeration date
11/17/2008
Last updated
11/18/2008
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