Organization
SPECIALTY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO SHELTON (OWNER)
(305) 698-1895
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE, SUITE 238 U, HIALEAH, FL 33012-4654
(305) 698-1895
(305) 698-1897
Mailing address
3750 W 16TH AVE, SUITE 238 U, HIALEAH, FL 33012-4654
(305) 698-1895
(305) 698-1897
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
12/18/2007
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