Gables Rehab Center Corp
Clinic/Center in Fort Myers, FL. Organization (NPI-2).
NPI number1043786007
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1043786007
- Entity type
- Organization (NPI-2)
- Legal business name
- Gables Rehab Center Corp
- Organization subpart
- No
- Enumeration date
- Oct 17, 2018
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
3049 Cleveland Ave Ste 145Fort Myers, FL 33901-7043
Phone 786-641-1312
Mailing address
5545 Sw 8th St Ste 204Coral Gables, FL 33134-2286
Phone 786-641-1312
Authorized official
Octavio Rodriguez
President
7866411312
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All 61 Clinic/Center providers in Fort Myers · All 10,624 providers in Fort Myers
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