Organization
KRYSTAL REHABILITATION SERVICES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LUIS GONZALEZ (PRESIDENT)
(305) 599-5258
Entity
Organization
Contact information
Practice address
6187 NW 167TH ST STE H13, MIAMI LAKES, FL 33015-4308
(305) 599-5258
(305) 599-5259
Mailing address
6187 NW 167TH ST STE H13, MIAMI LAKES, FL 33015-4308
(305) 599-5258
(305) 599-5259
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC9762
FL
Other
Enumeration date
09/03/2013
Last updated
10/29/2014
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