Organization

Sportz Rehab Llc

Clinic/Center in Miami, FL(View on Map)

Legal Business Name

Sportz Rehab Llc

NPI Number

1013557826

NPI Type

Organization

Enumeration Date

01/09/2020

Specialties

(Taxonomies)

Code

261Q00000X
225100000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

9767 SW 72ND ST
9767 SW 72ND ST

City

Miami
Miami

State

FL
FL

Postal Code

33173-4615
33173-4615

Country

US
US

Telephone Number

(305) 570-1666
(305) 570-1666

Authorized Official

Name

Mr. Diogo Trevisan

Title or Position

OWNER

Telephone Number

(786) 286-4119

Identifiers

Identifier

PT31195

Identifier State

FL

Identifier Issuer

MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/09/2020

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