Organization
ER REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL A FRIAS (OWNER)
(813) 874-6500
Entity
Organization
Contact information
Practice address
3619 HENDERSON BLVD, TAMPA, FL 33609-4501
(813) 874-6500
Mailing address
3619 HENDERSON BLVD, TAMPA, FL 33609-4501
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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