Healthcare Provider Details

I. General information

NPI: 1891996153
Provider Name (Legal Business Name): ALL MED REHAB SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 07/09/2008
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

42 NW 27TH AVE 307
MIAMI FL
33125-5127
US

V. Phone/Fax

Practice location:
  • Phone: 305-642-8618
  • Fax: 305-642-8619
Mailing address:
  • Phone: 305-642-8618
  • Fax: 305-642-8619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN CASTELLANO
Title or Position: PRESIDENT
Credential:
Phone: 305-642-8618