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BEACHCOMBER REHABILITATION INC NPI 1720436793


NPI Information

NPI: 1720436793
Provider Name: BEACHCOMBER REHABILITATION, INC

Doing Business As: BEACHCOMBER OUTPATIENT SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1001 W COMMERCIAL BLVD
FORT LAUDERDALE, FL
ZIP 33309
Phone: (561) 734-1818
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BEACHCOMBER REHABILITATION, INC is a rehabilitation and substance use disorder clinic center in Fort Lauderdale, FL. BEACHCOMBER REHABILITATION, INC NPI is 1720436793. The provider is registered as an organization entity type.
The provider Is Doing Business As Beachcomber Outpatient Services.

The provider's business location address is:

1001 W COMMERCIAL BLVD
FORT LAUDERDALE, FL
ZIP 33309-107
Phone: (561) 734-1818

The provider's authorized official is Nicola Rajaram .
The authorized official title is Billing Manager and has the following contact phone number (954) 272-6723.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 5/31/2016.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderFLORIDAYes

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

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