Organization
REHAB LAB DAVIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE GOMEZ (OWNER AND DIRECTOR OF OPERATIONS)
(786) 879-4209
Entity
Organization
Contact information
Practice address
4801 SW 148TH AVE, DAVIE, FL 33330-2129
(954) 804-2865
Mailing address
13225 SW 88TH AVE, MIAMI, FL 33176-5935
(954) 804-2865
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
03/11/2024
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