Organization
JPL REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELAINE AMPARO GOMEZ (PRESIDENT)
(305) 644-6160
Entity
Organization
Contact information
Practice address
348 NW 27TH AVE, MIAMI, FL 33125-3031
(305) 644-6160
(305) 644-6161
Mailing address
348 NW 27TH AVE, MIAMI, FL 33125-3031
(305) 644-6160
(305) 644-6161
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC3953
HCCL LICENSE
FL
Enumeration date
07/01/2006
Last updated
08/22/2020
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