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NPI Code Detail

MEDICARE: WESTWARD MEDICAL CENTER, INC

MEDICARE: WESTWARD MEDICAL CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterMA35823FL
2261QH0100XHealth Service Clinic/Center
3261Q00000XClinic/Center

General Provider Information

NPI Number : 1518296581
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTWARD MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : 286 WESTWARD DR
Second Line :
City : MIAMI SPRINGS
State : FL
Zip : 33166-5260
Country : US
Telephone Number : 305-884-1445
Fax Number : 305-884-1451
Provider Business Practice Location Address
First Line : 286 WESTWARD DR
Second Line :
City : MIAMI SPRINGS
State : FL
Zip : 33166-5260
Country : US
Telephone Number : 305-884-1445
Fax Number : 305-884-1451
Authorized Official
Title or Position : PRESIDENT
Name : MARIO DE LA ROSA
Credential : M.T
Telephone Number : 305-884-1445
Provider Enumeration Date : 12/21/2009
Last Update Date : 12/21/2009

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Directions to “WESTWARD MEDICAL CENTER, INC ” Practice Location

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