Organization
XTREME MEDICAL CENTER ,CORP
Active
Other names
xtreme medical center , corp
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YANELYS FUNDORA LMT (PRESIDENT)
(305) 229-1589
Entity
Organization
Contact information
Practice address
12809 SW 42ND ST, MIAMI, FL 33175-3424
(305) 229-1589
Mailing address
12809 SW 42 ST, MIAMI, FL 33189
(305) 229-1589
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
MA58827
FL
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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