NPI 1003111246

Vista Rehab Center Corp

Organisation Physical Therapy Clinic/Center Miami, FL

Practice location

Address: 175 Fontainebleau Blvd STE 1g2, Miami, FL 33172-4511
Phone: (786) 459-2637

Authorised official

Name: Vianka de Paz
Title: Owner
Phone: (786) 459-2637

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence MA 47653 (FL)

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Registry record

NPI: 1003111246
Entity type: Organization
NPI issued: 19 Jan 2011
Record last updated: 19 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.