Organization
BLUE DIAMON REHABILITATION CENTER LLC
Active
Other names
BLUE DIAMON REHABILITATION CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO LOPEZ (OWNWER)
(305) 432-6989
Entity
Organization
Contact information
Practice address
4485 STIRLING RD STE 110, DAVIE, FL 33314-7517
(786) 954-2954
Mailing address
4485 STIRLING RD STE 110, DAVIE, FL 33314-7517
(786) 954-2954
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
04/19/2021
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