Organization
PROFESSIONAL MEDICAL PHYSICAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL A RODRIGUEZ (OWNER)
(305) 805-5447
Entity
Organization
Contact information
Practice address
489 HIALEAH DR, UNIT 6, HIALEAH, FL 33010-5320
(305) 805-5447
(305) 805-5447
Mailing address
489 HIALEAH DR, UNIT 6, HIALEAH, FL 33010-5320
(305) 805-5447
(305) 805-5447
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
12/03/2007
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