Organization
CDL REHABILITATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS D LOPEZ (AUTHORIZED OFFICIAL)
(305) 456-2406
Entity
Organization
Contact information
Practice address
3901 NW 79TH AVE STE 223, DORAL, FL 33166-6554
(305) 456-2406
(305) 456-2521
Mailing address
3901 NW 79TH AVE STE 223, DORAL, FL 33166-6554
(305) 456-2406
(305) 456-2521
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
05/08/2023
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