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General NPI Number Information
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NPI Number | 1598606600
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA REHAB AND TRAINING CENTER
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 3905 NW 107TH AVE STE 302
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City | DORAL
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State | FL
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Zip | 33178-2785
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Country | US
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Telephone | 305-905-4188
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Fax | 786-338-7421
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Provider Business Mailing Address
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Address Line | 6812 SW 81ST ST
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City | MIAMI
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State | FL
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Zip | 33143-7708
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Country | US
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Telephone | 305-905-4188
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Fax | 786-338-7421
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Authorized Official
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Title or Position | PRESIDENT
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Name | GABRIEL CARVAJAL JR.
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Credential | MPT
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Telephone | 305-905-4188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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