Provider Demographics
NPI:1326022823
Name:HEALIS REHABILITATION CENTER
Entity type:Organization
Organization Name:HEALIS REHABILITATION CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-251-7477
Mailing Address - Street 1:18001 OLD CUTLER RD
Mailing Address - Street 2:SUITE 368
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6416
Mailing Address - Country:US
Mailing Address - Phone:305-251-7477
Mailing Address - Fax:305-251-7475
Practice Address - Street 1:18001 OLD CUTLER RD
Practice Address - Street 2:SUITE 368
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6416
Practice Address - Country:US
Practice Address - Phone:305-251-7477
Practice Address - Fax:305-251-7475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6096261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLX1547Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER