Organization Name: | FAMILY REHAB,INC. |
NPI Number: | 1134452329 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | INTI FERNANDEZ (PRESIDENT) |
Mailing Address: | 8672 Sw 40 Street Suite # 202 Miami |
State: | FL US |
Postal Code: | 33155 |
Phone Number: | 3052256266 |
Fax Number: | 3052256296 |
NPI Enumeration Date: | 09/07/2009 |
NPI Last Update Date: | 11/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME97323 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |