Sunstate Rehab LLC

NPI #1942502265 in Miami, Florida

Provider Information

NPI Number: 1942502265
Entity Type: Organization
Organization Name: Sunstate Rehab LLC
Primary Specialty: General Practice
Enumeration Date: Nov 18, 2010
Last Updated: Jul 29, 2011

Practice Location

Address: 58 NE 167TH ST
City: Miami
State: Florida
ZIP Code: 33162-3401
Phone: (305) 956-7787

Authorized Official

Name: MR. JERRY TISHMAN, DC
Title: MGR
Phone: (561) 487-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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