Healthcare Provider Details
I. General information
NPI: 1891745535
Provider Name (Legal Business Name): ALL MED REHAB SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2006
Last Update Date: 07/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42 NW 27TH AVE 307
MIAMI FL
33125-5127
US
IV. Provider business mailing address
1498 NW 54TH ST SUITE E
MIAMI FL
33142-3861
US
V. Phone/Fax
- Phone: 305-642-8618
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | ME68274 |
| License Number State | FL |
VIII. Authorized Official
Name:
MORAIMA
BELLO
Title or Position: PRESIDENT
Credential:
Phone: 305-642-8618