Organization
MIAMI MEDICAL & REHAB CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARIANNE MONTEAGUDO (PRESIDENT)
(305) 558-9941
Entity
Organization
Contact information
Practice address
3408 W 84TH ST, SUITE 312, HIALEAH, FL 33018-4939
(305) 558-9941
(305) 558-9951
Mailing address
3408 W 84TH ST, SUITE 312, HIALEAH, FL 33018-4939
(305) 558-9941
(305) 558-9951
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MM 28295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9337
AHCA LICENSE
FL
Enumeration date
01/03/2012
Last updated
06/05/2012
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