Organization
RCA REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL A GONZALEZ (PRESIDENT)
(786) 975-4498
Entity
Organization
Contact information
Practice address
14600 SW 87TH CT, PALMETTO BAY, FL 33176-8018
(786) 975-4498
Mailing address
14600 SW 87 CT, MIAMI, FL 33176
(786) 975-4498
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020304050
—
FL
Enumeration date
01/30/2012
Last updated
01/30/2012
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