| Organization Name: | MEDLEY PAIN AND REHABILITATION CENTER INC |
| NPI Number: | 1922174606 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YADIRA GUTIERREZ (PRESIDENT) |
| Mailing Address: | 7911 Nw 72nd Ave Ste 103 Medley |
| State: | FL US |
| Postal Code: | 331662227 |
| Phone Number: | 3058050133 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 02/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |