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
Phone: (954) 467-8855
Fax: (954) 467-8857
Website:
Authorized official contact:
Name: Richard, Charles Harry Doctor of Osteopathy (DO)
Phone: (954) 467-8855
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891703351 | NPPES |
Florida | MEDICAID | 001414000 | |
Florida | Other | U2206X |
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