Organization
PROFESSIONAL REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO AMIEVA SR. (PRESIDENT)
(305) 303-8620
Entity
Organization
Contact information
Practice address
2835 NW 7TH ST, MIAMI, FL 33125-4303
(305) 631-6664
(305) 631-6664
Mailing address
2835 NW 7TH ST, MIAMI, FL 33125-4303
(305) 631-6664
(305) 631-6664
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
9451
FL
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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