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Organization

ST LOUIS REHABILITATION PROGRAM INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SEBASTIAN N SILVERA (ADMINISTRATOR)
(305) 470-6263
Entity
Organization

Contact information

Practice address
4005 NW 114TH AVE, SUITE 5, DORAL, FL 33178-4374
(305) 470-6263
(305) 470-6540
Mailing address
4005 NW 114TH AVE, SUITE 5, DORAL, FL 33178-4374
(305) 470-6263
(305) 470-6540

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
FL

Other

Enumeration date
06/28/2006
Last updated
08/22/2020
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