| Organization Name: | COCONUT CREEK REHABILITATION INC |
| NPI Number: | 1134335557 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD R JAMES (PRESIDENT) |
| Mailing Address: | 4915 Coconut Creek Pkwy Coconut Creek |
| State: | FL US |
| Postal Code: | 330633909 |
| Phone Number: | 9549721200 |
| Fax Number: | 9549726212 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 02/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |