Organization · NPI-2

1 Paradise Medical INC

Clinic/Center, Rehabilitation · Miami, FL

NPI number1558695239
StatusActive
Last updated in NPPESAug 9, 2010

Details

NPI
1558695239
Entity type
Organization (NPI-2)
Legal business name
1 Paradise Medical INC
Organization subpart
No
Enumeration date
Sep 28, 2009
Last updated
Aug 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0400X Clinic/Center, Rehabilitation––Yes

Practice location

13155 Sw 134th St
Ste 221
Miami, FL 33186-4486

Phone 786-333-3369 · Fax 305-677-9048

Mailing address

13155 Sw 134th St
Ste 221
Miami, FL 33186-4486

Phone 786-333-3369 · Fax 305-677-9048

Authorized official

Kirenia Bustillo
President
7863333369

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