| NPI | 1548810179 |
|---|---|
| Former Legal Business Name | BLUE SKY MEDICAL& REHAB CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | SUSEL CASADO Manager 786-360-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2021-05-12 |