All State Medical Group INC
Clinic/Center, Rehabilitation in Miami, FL. Organization (NPI-2).
NPI number1215366299
StatusActive
Last updated in NPPESNov 11, 2013
Details
- NPI
- 1215366299
- Entity type
- Organization (NPI-2)
- Legal business name
- All State Medical Group INC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2013
- Last updated
- Nov 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
12360 Sw 132nd CtSuite 212
Miami, FL 33186-6464
Phone 330-525-2214 · Fax 305-252-2068
Mailing address
12360 Sw 132nd CtSuite 212
Miami, FL 33186-6464
Phone 330-525-2214 · Fax 305-252-2068
Authorized official
Rafael Infantr
President
3052522145
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