Healthcare Provider Details

I. General information

NPI: 1093756892
Provider Name (Legal Business Name): MIAMI SPRINGS REHABILITION CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

286 WESTWARD DR
MIAMI SPRINGS FL
33166-5260
US

IV. Provider business mailing address

286 WESTWARD DR
MIAMI SPRINGS FL
33166-5260
US

V. Phone/Fax

Practice location:
  • Phone: 305-863-8649
  • Fax: 305-863-8648
Mailing address:
  • Phone: 305-863-8649
  • Fax: 305-863-8648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: JULIA DANIEL
Title or Position: PRESIDENT
Credential:
Phone: 305-863-8649