Provider Demographics
NPI:1528735933
Name:INFINITY MEDICAL REHAB INC .
Entity type:Organization
Organization Name:INFINITY MEDICAL REHAB INC .
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISUR
Authorized Official - Middle Name:
Authorized Official - Last Name:VEITIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-637-2467
Mailing Address - Street 1:175 FONTAINEBLEAU BLVD STE 2J6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4511
Mailing Address - Country:US
Mailing Address - Phone:786-637-2467
Mailing Address - Fax:786-637-2371
Practice Address - Street 1:175 FONTAINEBLEAU BLVD STE 2J6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4511
Practice Address - Country:US
Practice Address - Phone:786-637-2467
Practice Address - Fax:786-637-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy