Organization · NPI-2
Acl Health Center Corp
Physical Medicine & Rehabilitation · Miami, FL
NPI number1033860390
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1033860390
- Entity type
- Organization (NPI-2)
- Legal business name
- Acl Health Center Corp
- Organization subpart
- No
- Enumeration date
- Jan 18, 2022
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
2721 Sw 137th Ave Ste 102Miami, FL 33175-6355
Phone 786-208-6744
Mailing address
2721 Sw 137th Ave Ste 102Miami, FL 33175-6355
Authorized official
Imber Medina Ramentol
Owner
7862086744
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