PREMIER THERAPY AND REHABILITATION GROUP INC
Ambulatory Health at 76 St, Hialeah, FL

License number
Florida MM27332
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: INGRISS TRAVIESO LMT
Title: PRESIDENT
Phone: (786) 691-3708
Address
Address
2100 W 76Th St SUITE 209, Hialeah, FL 33016
National Provider ID: 1730467515
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Premier Therapy and Rehabilitation Group

Hialeah, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Doing business as:
Premier Therapy and Rehabilitation Group, Inc
Registration:
Jun 16, 2011
Addresses:
2100 W 76 St, Hialeah, FL 33016
PO Box 22924, Hialeah, FL 33002
State ID:
P11000056388
Business type:
Domestic for Profit Corporation
President, Vice Presidents:
Ingriss Travieso Lmt, President, inactive,Manuel A. Nunez President, Vice President, inactive

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