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ADVANCED THERAPY AND REHABILITATION CENTER INC. NPI 1396795324


NPI Information

NPI: 1396795324
Provider Name: ADVANCED THERAPY AND REHABILITATION CENTER, INC.

Doing Business As: ADVANCED THERAPY AND REHABILITATION CENTER, INC.

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2125021

Address:
3900 NW 79TH AVE
461
DORAL, FL
ZIP 33166
Phone: (305) 639-9500
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ADVANCED THERAPY AND REHABILITATION CENTER, INC. is a general practice in Doral, FL. ADVANCED THERAPY AND REHABILITATION CENTER, INC. NPI is 1396795324. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Therapy And Rehabilitation Center, Inc..

The provider's business location address is:

3900 NW 79TH AVE
461
DORAL, FL
ZIP 33166-556
Phone: (305) 639-9500
Fax: (305) 639-3377

The provider's authorized official is Alexis Eulalio Luis .
The authorized official title is President and has the following contact phone number 305-639-9500.

The CLIA number assigned to this NPI record is 10D2125021 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeME38304FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.