Provider Demographics
NPI:1427355627
Name:RECOVERY HEALTH CENTER INC
Entity type:Organization
Organization Name:RECOVERY HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-227-8088
Mailing Address - Street 1:175 FONTAINEBLEAU BLVD STE 2D1
Mailing Address - Street 2:2D1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7013
Mailing Address - Country:US
Mailing Address - Phone:305-227-8088
Mailing Address - Fax:305-227-8089
Practice Address - Street 1:175 FONTAINEBLEAU BLVD STE 2D1
Practice Address - Street 2:2D1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-7013
Practice Address - Country:US
Practice Address - Phone:305-227-8088
Practice Address - Fax:305-227-8089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM 19789261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation