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General NPI Number Information
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NPI Number | 1629220694
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Entity Type | Organization
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Legal Business Name | PRIME MEDICAL & REHAB SERVICES INC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 425 W 51ST PL
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City | HIALEAH
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State | FL
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Zip | 33012-3618
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Country | US
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Telephone | 305-403-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W 51ST PL
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City | HIALEAH
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State | FL
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Zip | 33012-3618
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Country | US
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Telephone | 305-403-0880
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS NADINE O CRESPO
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Credential |
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Telephone | 305-403-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | HCC6378
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License Number State | FL
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