Organization
TWO G'S OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDIA EIRANOVA (PRESIDENT/OWNER)
(305) 223-6050
Entity
Organization
Contact information
Practice address
7100 SW 99TH AVE STE 102, MIAMI, FL 33173-4668
(305) 595-2053
(305) 595-0752
Mailing address
7100 SW 99TH AVE STE 102, MIAMI, FL 33173-4668
(305) 223-6050
(305) 595-0752
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
09/08/2023
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