Organization
ASSOCIATES REHAB SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMINA LOPEZ LIMA (PRESIDENT)
(305) 688-4623
Entity
Organization
Contact information
Practice address
1990 OPA LOCKA BLVD, OPA LOCKA, FL 33054-4226
(305) 688-4623
Mailing address
1990 OPA LOCKA BLVD, OPA LOCKA, FL 33054-4226
(305) 688-4623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
598504-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598504-0
OCCUPATIONAL LICENSE
FL
Enumeration date
06/02/2006
Last updated
08/22/2020
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