| Organization Name: | MILLENNIUM REHABILITATION CENTER INC |
| NPI Number: | 1245419605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIN KALICOS (PRESIDENT) |
| Mailing Address: | 3676 Collin Dr Suite 8-9 West Palm Beach |
| State: | FL US |
| Postal Code: | 334064727 |
| Phone Number: | 5619674619 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2007 |
| NPI Last Update Date: | 01/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC6739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |