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Organization

MABAKA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MADELINE BARO KAHAN MOT, OTRL (MANAGING MEMEBER)
(561) 251-5190
Entity
Organization

Contact information

Practice address
6752 HERITAGE GRANDE, 101, BOYNTON BEACH, FL 33437-7926
(561) 251-5190
(561) 210-4304
Mailing address
6752 HERITAGE GRANDE, 101, BOYNTON BEACH, FL 33437-7926
(561) 251-5190
(561) 210-4304

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT10006
FL

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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