Organization
VIRGINIA REHABILITATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYDEL ENCARNACION (PRESIDENT)
(305) 526-0289
Entity
Organization
Contact information
Practice address
6501 NW 36TH ST, SUITE 390, VIRGINIA GARDENS, FL 33166-6959
(305) 526-0289
(305) 526-0291
Mailing address
6501 NW 36TH ST, SUITE 390, VIRGINIA GARDENS, FL 33166-6959
(305) 526-0289
(305) 526-0291
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC10737
FL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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