Provider Demographics
NPI:1124390133
Name:THERAPEUTIC REHAB CENTER INC
Entity type:Organization
Organization Name:THERAPEUTIC REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-231-4907
Mailing Address - Street 1:1175 PANAMA AVE
Mailing Address - Street 2:
Mailing Address - City:CLEWISTON
Mailing Address - State:FL
Mailing Address - Zip Code:33440-9077
Mailing Address - Country:US
Mailing Address - Phone:786-231-4907
Mailing Address - Fax:
Practice Address - Street 1:1175 PANAMA AVE
Practice Address - Street 2:
Practice Address - City:CLEWISTON
Practice Address - State:FL
Practice Address - Zip Code:33440-9077
Practice Address - Country:US
Practice Address - Phone:786-231-4907
Practice Address - Fax:305-264-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9646261Q00000X
261Q00000X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center