Organization
PEDIATRIC REHABILITATION CARE GROUP LLC
Active
Organization
PEDIATRIC REHABILITATION CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO A GUERRA (OWNER)
(786) 488-4582
Entity
Organization
Contact information
Practice address
1840 W 49TH ST, HIALEAH, FL 33012-2942
(786) 488-4582
Mailing address
1840 W 49TH ST, SUITE #604A, HIALEAH, FL 33012-2942
(786) 488-4582
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RT9975
FL
Other
Enumeration date
02/25/2013
Last updated
03/07/2014
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