Organization
BLUE REHAB CENTER CORP
Active
Organization
BLUE REHAB CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO RODRIGUEZ (PRESIDENT)
(786) 331-8214
Entity
Organization
Contact information
Practice address
7392 NW 35TH TER, 206, MIAMI, FL 33122-1271
(786) 331-8214
(786) 331-8215
Mailing address
7392 NW 35TH TER, 206, MIAMI, FL 33122-1271
(786) 331-8214
(786) 331-8215
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6302
AHCA LICENSE
FL
Enumeration date
04/24/2008
Last updated
04/24/2008
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