1932293420 NPI number — FENIX PHYSICAL REHAB CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932293420 NPI number — FENIX PHYSICAL REHAB CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FENIX PHYSICAL REHAB CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932293420
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3899 NW 7 STREET
Provider Second Line Business Mailing Address:
OFFICE 200-B
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-642-9099
Provider Business Mailing Address Fax Number:
305-642-9717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3899 NW 7 STREET
Provider Second Line Business Practice Location Address:
OFFICE 200-B
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-642-9099
Provider Business Practice Location Address Fax Number:
305-642-9717
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAYLLE-HYMEL
Authorized Official First Name:
SARA
Authorized Official Middle Name:
CRISTINA
Authorized Official Title or Position:
OFFICE MANAGER/CO-OWNER
Authorized Official Telephone Number:
305-642-9099

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH8603 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com