Organization
PALMETTO LAKES MEDICAL AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORACIO PEREZ (MRGM/OWNER)
(786) 299-0543
Entity
Organization
Contact information
Practice address
1890 SW 57TH AVE, SUITE 109, MIAMI, FL 33155-2164
(786) 299-0543
Mailing address
1890 SW 57TH AVE, SUITE 109, MIAMI, FL 33155-2164
(786) 299-0543
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/23/2014
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