Organization
MIAMI LAKES REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ZULUETA (PRESIDENT)
(786) 439-3996
Entity
Organization
Contact information
Practice address
13903 NW 67TH AVE, SUITE # 250, MIAMI LAKES, FL 33014-2900
(786) 439-3996
(786) 439-3997
Mailing address
13903 NW 67TH AVE, SUITE # 250, MIAMI LAKES, FL 33014-2900
(786) 439-3996
(786) 439-3997
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC8269
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC8269
MULTIPLE MEDICAL SERVICES
FL
Enumeration date
12/26/2012
Last updated
12/26/2012
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