| West Kendall Rehab, Inc. | |
|
4445 W 16th Ave Ste 505 Hialeah FL 33012-2960 | |
| (305) 512-1717 | |
| (305) 512-1713 |
| Full Name | West Kendall Rehab, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4445 W 16th Ave Ste 505, Hialeah, Florida |
| Authorized Official Name and Position | Inti Fernandez (PRESIDENT) |
| Authorized Official Contact | 3055121717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Kendall Rehab, Inc. 4445 W 16th Ave Ste 505 Hialeah FL 33012-2960 Ph: (305) 512-1717 | West Kendall Rehab, Inc. 4445 W 16th Ave Ste 505 Hialeah FL 33012-2960 Ph: (305) 512-1717 |
| NPI Number | 1487943619 |
|---|---|
| Provider Enumeration Date | 03/28/2011 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487943619 | NPI | - | NPPES |
| 1831235043 | Other | FL | ORGANIZATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME97323 (Florida) | Primary |
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