Healthcare Provider Details

I. General information

NPI: 1770708513
Provider Name (Legal Business Name): UNITED MEDICAL AND REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14075 SW 143RD CT SUITE 1
MIAMI FL
33186-5682
US

IV. Provider business mailing address

14075 SW 143RD CT SUITE 1
MIAMI FL
33186-5682
US

V. Phone/Fax

Practice location:
  • Phone: 786-242-2759
  • Fax:
Mailing address:
  • Phone: 786-242-2759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH9004
License Number StateFL

VIII. Authorized Official

Name: DR. PAUL LUIGI GUADAGNO
Title or Position: PRESIDENT
Credential: DC
Phone: 786-246-2501