Organization
PENTACLE REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIBAL BORROTO (PRESIDENT)
(305) 642-2434
Entity
Organization
Contact information
Practice address
807 SW 25TH AVE, STE 208, MIAMI, FL 33135-4873
(305) 642-2434
Mailing address
807 SW 25TH AVE, STE 208, MIAMI, FL 33135-4873
(305) 642-2434
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME62641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME62641
MD
FL
Enumeration date
12/09/2008
Last updated
12/09/2008
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