Healthcare Provider Details

I. General information

NPI: 1447248174
Provider Name (Legal Business Name): ALL DADE REHABILITATION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 SW 24TH ST SUITE 214
MIAMI FL
33155-1466
US

IV. Provider business mailing address

7235 SW 24TH ST SUITE 214
MIAMI FL
33155-1466
US

V. Phone/Fax

Practice location:
  • Phone: 305-264-2700
  • Fax: 305-264-7790
Mailing address:
  • Phone: 305-264-2700
  • Fax: 305-264-7790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATACHA F MORENO
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-264-2700