Provider Demographics
| NPI: | 1316236730 |
|---|---|
| Name: | AMERICAN MED REHAB INC |
| Entity type: | Organization |
| Organization Name: | AMERICAN MED REHAB INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | EDITH |
| Authorized Official - Middle Name: | YOLANDA |
| Authorized Official - Last Name: | DELGADO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 305-553-6100 |
| Mailing Address - Street 1: | 8660 W FLAGLER ST STE 110 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIAMI |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33144-2035 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 305-553-6100 |
| Mailing Address - Fax: | 305-553-6002 |
| Practice Address - Street 1: | 8660 W FLAGLER ST STE 110 |
| Practice Address - Street 2: | |
| Practice Address - City: | MIAMI |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33144-2035 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 305-553-6100 |
| Practice Address - Fax: | 305-553-6002 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-04-06 |
| Last Update Date: | 2011-04-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | MM 25542 | 261QP2000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |