Organization
CRYSTAL REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RODRIGUEZ (DIRECTOR)
(813) 935-3939
Entity
Organization
Contact information
Practice address
8019 N HIMES AVE, STE 102, TAMPA, FL 33614-2712
(813) 935-3939
Mailing address
8019 N HIMES AVE, STE 102, TAMPA, FL 33614-2712
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC 7729
FL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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