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 |