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General NPI Number Information
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NPI Number | 1538252721
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Entity Type | Organization
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Legal Business Name | VILLA MARIA NURSING & REHABILITATION CENTER
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1050 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161
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Country | US
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Telephone | 305-891-8850
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Fax | 305-892-6299
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Provider Business Mailing Address
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Address Line | 1050 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161
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Country | US
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Telephone | 954-739-6233
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Fax | 954-733-1532
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | MR. BRIAN KIEDROWSKI
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Credential | MD
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Telephone | 305-357-1735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | FL 4262
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 4262
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License Number State | FL
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