Organization Name: | ATLANTIC REHABILITATION CENTER |
NPI Number: | 1003973967 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH CAROCCIO (OWNER, MPT) |
Mailing Address: | 2250 Sw 71st Ter Davie |
State: | FL US |
Postal Code: | 333177136 |
Phone Number: | 9543580870 |
Fax Number: | 3054050415 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | 22768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |