Whalio Doctors

NPI 1144501560

Rejuvenate Health Care Center LLC

Organisation Physical Disabilities Residential Treatment Facility Doral, FL

Practice location

Address
3900 NW 79th Ave STE 102, Doral, FL 33166-6545
Phone
(305) 593-2227

Authorised official

Name
Luis Alonzo
Title
President
Phone
(305) 593-2227

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X Licence OT 12543 (FL)

Registry record

NPI
1144501560
Entity type
Organization
NPI issued
30 Aug 2011
Record last updated
30 Aug 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.