Organization
K&S PHYSICAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS MARTINEZ (OWNER- PRESIDENT)
(305) 463-9167
Entity
Organization
Contact information
Practice address
4995 NW 72ND AVE, 204, MIAMI, FL 33166-5643
(305) 463-9167
(305) 463-9168
Mailing address
4995 NW 72ND AVE, 204, MIAMI, FL 33166-5643
(305) 463-9167
(305) 463-9168
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
MM25804
FL
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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