IMPACT REHAB INC
Physical Therapy at 41 St, Miami, FL

License number
Florida PT 13318
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MR. ROBERT J MURDOCCO P.T.
Title: PRESIDENT
Phone: (305) 672-2992
Address
Address
519 W 41St St, Miami, FL 33140
National Provider ID: 1134302532
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IMPACT REHAB INC

Miami, FL

Status:
Inactive
Industry:
Home Health Care Services Health Practitioner's Office
Inactive reason:
AMENDMENT
Registration:
Aug 15, 2001
Inactive since:
Aug 6, 2010
Addresses:
519 W41 St, Miami Beach, FL 33140 (Physical)
519 Arthur Godfrey Rd, Miami, FL 33140
523 Arthur Godfrey Rd, Miami, FL 33140
State ID:
P01000080365
Business type:
Florida Profit Corporation
Treasurer, Director, Vice Presidents:
Robert Murdocco (President, Director, Secretary),Jacqueline Murdocco (Treasurer, Director, Vice President)
Agent:
Murdocco, Robert,550 W 51 Ter, Miami Beach, FL 33140 (Physical)
EIN:
651136033

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