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Organization

PULMONARY PROVIDERS REHAB INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAFAEL JORGE MENENDEZ (DIRECTOR)
(305) 266-4474
Entity
Organization

Contact information

Practice address
1352 SW 75TH AVE, MIAMI, FL 33144-4422
(305) 266-4474
(305) 266-4474
Mailing address
1352 SW 75TH AVE, MIAMI, FL 33144-4422
(305) 266-4474
(305) 266-4474

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
RT5541 AND TN7986
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P09000000741
CORPORATION DOCUMENT NUMBER
FL
Enumeration date
10/26/2009
Last updated
11/13/2009
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