SOUTH MIAMI REHABILITATION INC. NPI 1255318333

NPI Information

NPI: 1255318333
Provider Name: SOUTH MIAMI REHABILITATION, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CLIA Number: 10D2115059

Address:
8390 W FLAGLER ST
SUITE 201
MIAMI, FL
ZIP 33144
Phone: (305) 480-5688
Get Directions

SOUTH MIAMI REHABILITATION, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Miami, FL. SOUTH MIAMI REHABILITATION, INC. NPI is 1255318333. The provider is registered as an organization entity type.

The provider's business location address is:

8390 W FLAGLER ST
SUITE 201
MIAMI, FL
ZIP 33144-039
Phone: (305) 480-5688
Fax: (305) 480-5680

The provider's authorized official is Juan Manzano .
The authorized official title is President and has the following contact phone number (786) 237-9720.

The CLIA number assigned to this NPI record is 10D2115059 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 9/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	683224	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	683224	MEDICARE OSCAR/CERTIFICATION	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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