| Sunstate Rehab Llc | |
|
58 Ne 167th St Miami FL 33162-3401 | |
| (305) 956-7787 | |
| (305) 956-7716 |
| Full Name | Sunstate Rehab Llc |
|---|---|
| Speciality | General Practice |
| Location | 58 Ne 167th St, Miami, Florida |
| Authorized Official Name and Position | Jerry Tishman (MGR) |
| Authorized Official Contact | 5614877200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunstate Rehab Llc 58 Ne 167th St Miami FL 33162-3401 Ph: () - | Sunstate Rehab Llc 58 Ne 167th St Miami FL 33162-3401 Ph: (305) 956-7787 |
| NPI Number | 1942502265 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 07/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942502265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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