Southern Rehabilitation Group LLC
NPI #1104489079 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1104489079
- Entity Type
- Organization
- Organization Name
- Southern Rehabilitation Group LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Apr 17, 2019
- Last Updated
- Apr 17, 2019
Practice Location
- Address
- 6447 MIAMI LAKES DR E STE 200E
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33014-2706
- Phone
- (786) 319-0748
Authorized Official
- Name
- VIVIAN BLANCO LEZCANO, LMHC
- Title
- OWNER
- Phone
- (786) 319-0748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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