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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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