Organization
DYNAMIC PHYSICAL REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVELLAIL DIAZ PRIETO (PRESIDENT/OWNER)
(305) 698-2270
Entity
Organization
Contact information
Practice address
4445 W 16TH AVE, SUITE 500, HIALEAH, FL 33012-7189
(305) 698-2260
(305) 698-2276
Mailing address
4445 W 16TH AVE, SUITE 500, HIALEAH, FL 33012-7189
(305) 698-2260
(305) 698-2276
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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