St Louis Rehabilitation Program INC.
Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Doral, FL. Organization (NPI-2).
NPI number1770510216
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1770510216
- Entity type
- Organization (NPI-2)
- Legal business name
- St Louis Rehabilitation Program INC.
- Organization subpart
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | – | FL | Yes |
Practice location
4005 Nw 114th AveSuite 5
Doral, FL 33178-4374
Phone 305-470-6263 · Fax 305-470-6540
Mailing address
4005 Nw 114th AveSuite 5
Doral, FL 33178-4374
Phone 305-470-6263 · Fax 305-470-6540
Authorized official
Sebastian N Silvera
Administrator
3054706263
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