Excell Rehab
LBN: Maxider Corporation
Excell Rehab is an health care organization with primary practice located at 389 Commercial Court Suite C, Venice FL 34292. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Maxider Corporation can be contacted via phone (941) 488-6600, or through Derboghossian, Pablo Edgardo via phone (941) 488-6600.
Contact Information
Primary practice address
389 Commercial Court Suite C
Venice FL 34292
Phone: (941) 488-6600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT13467 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | PT13467 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT13467 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT13467 | Florida |
Profile Details
NPI number | 1780712539 |
---|---|
LBN Legal business name | Maxider Corporation |
DBA Doing business as | Excell Rehab |
Authorized official | Derboghossian, Pablo Edgardo |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 2nd, 2007 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780712539 | NPPES |
Florida | Other | 7042130 | AETNA NUMBER |
Florida | Other | CG9065 | AETNA NUMBER |
Florida | Other | Y903S | AETNA NUMBER |
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