Medical Rehab Clinic Of Broward

LBN: Medical Rehab Clinic Of Broward Llc
Medical Rehab Clinic Of Broward is an health care organization with primary practice located at 1528 Ne 4Th Ave , Fort Lauderdale FL 33304-1036. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medical Rehab Clinic Of Broward Llc can be contacted via phone (954) 467-8855, or through Richard, Charles Harry via phone (954) 467-8855.

Contact Information

Primary practice address
1528 Ne 4Th Ave Fort Lauderdale FL 33304-1036
Fax: (954) 467-8857
Website:
Authorized official contact:
Name: Richard, Charles Harry Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8590 Florida

Profile Details

NPI number 1891703351
LBN Legal business name Medical Rehab Clinic Of Broward Llc
DBA Doing business as Medical Rehab Clinic Of Broward
Authorized official Richard, Charles Harry Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 19th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891703351 NPPES
Florida MEDICAID 001414000
Florida Other U2206X

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