SOUTHERN CORF INC. NPI 1720017668

NPI Information

NPI: 1720017668
Provider Name: SOUTHERN CORF, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
770 PONCE DE LEON BLVD
SUITE 101
CORAL GABLES, FL
ZIP 33134
Phone: (305) 774-4644
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SOUTHERN CORF, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Coral Gables, FL. SOUTHERN CORF, INC. NPI is 1720017668. The provider is registered as an organization entity type.

The provider's business location address is:

770 PONCE DE LEON BLVD
SUITE 101
CORAL GABLES, FL
ZIP 33134-065
Phone: (305) 774-4644
Fax: (305) 774-4648

The provider's authorized official is Alina Mendez .
The authorized official title is Ceo and has the following contact phone number (786) 554-3854.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 9/10/2008.

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)			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	104832	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	PROVIDER NUMBER

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

NPI Synchronization or Removal

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