Organization
ELITE REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA ANGUEIRA (PRESIDENT)
(305) 836-4345
Entity
Organization
Contact information
Practice address
900 W 49TH ST, STE 216, HIALEAH, FL 33012-3402
(305) 836-4346
(305) 836-5904
Mailing address
900 W 49TH ST, STE 216, HIALEAH, FL 33012-3402
(305) 836-4346
(305) 836-5904
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K7626
MEDICARE LEGACY
FL
Enumeration date
01/10/2006
Last updated
04/24/2008
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