Healthcare Provider Details

I. General information

NPI: 1306825971
Provider Name (Legal Business Name): HOPE PHYSICAL REHABILITATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CORAL WAY
MIAMI FL
33145
US

IV. Provider business mailing address

2000 CORAL WAY
MIAMI FL
33145
US

V. Phone/Fax

Practice location:
  • Phone: 305-285-5500
  • Fax: 305-285-7950
Mailing address:
  • Phone: 305-285-5500
  • Fax: 305-285-7950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GLORIA E GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-285-5500