Organization
PHYSICIAN REHAB CENTER INC
Active
Other names
aceso & panacea wellness center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LUIS LOPEZ (SECRETARY/VP)
(305) 213-4211
Entity
Organization
Contact information
Practice address
5801 NW 151ST ST, SUITE 106, MIAMI LAKES, FL 33014-2437
(305) 828-0455
(305) 828-8455
Mailing address
5801 NW 151ST ST, SUITE 106, MIAMI LAKES, FL 33014-2437
(305) 828-0455
(305) 828-8455
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME17907
FL
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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