1952352262 NPI number — NATIONAL REHABILITATION OF SOUTH FLORIDA

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 1952352262 NPI number — NATIONAL REHABILITATION OF SOUTH FLORIDA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL REHABILITATION OF SOUTH FLORIDA
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:
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:
1952352262
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:
2800 W 84TH ST
Provider Second Line Business Mailing Address:
STE 12
Provider Business Mailing Address City Name:
HIALEAH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33018-4922
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-556-6817
Provider Business Mailing Address Fax Number:
305-556-6810

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2800 W 84TH ST
Provider Second Line Business Practice Location Address:
STE 12
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33018-4922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-556-6817
Provider Business Practice Location Address Fax Number:
305-556-6810
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRABERAN
Authorized Official First Name:
NILDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-556-6817

Provider Taxonomy Codes

  • Taxonomy code: 261QR0401X ; 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