Organization
XTREME REHAB SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARBARO DAMIAN PASTRANA (PRESIDENT)
(305) 733-1921
Entity
Organization
Contact information
Practice address
8890 SW 24TH ST STE 213, MIAMI, FL 33165-2060
(305) 733-1921
Mailing address
8890 SW 24TH ST STE 213, MIAMI, FL 33165-2060
(305) 733-1921
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
LC10996
FL
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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