Organization
UNIVERSAL REHAB MED GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO RODRIGUEZ D.C. (PRESIDENT)
(561) 966-9957
Entity
Organization
Contact information
Practice address
2925 10TH AVE N STE 201C, PALM SPRINGS, FL 33461-3046
(561) 966-9957
(561) 966-9958
Mailing address
2925 10TH AVE N STE 201C, PALM SPRINGS, FL 33461-3046
(561) 966-9957
(561) 966-9958
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QP2000X
AHCA
FL
Enumeration date
03/24/2009
Last updated
03/24/2009
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