Premier Athletic Rehab Center Llc

LBN: Premier Athletic Rehab Center Llc
Premier Athletic Rehab Center Llc is an health care organization with primary practice located at 3121 Ponce De Leon Blvd , Coral Gables FL 33134-6816. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Premier Athletic Rehab Center Llc can be contacted via phone (305) 396-9002, or through Gonzalez, Alejandro G via phone (305) 282-7252.

Contact Information

Primary practice address
3121 Ponce De Leon Blvd Coral Gables FL 33134-6816
Phone: (305) 396-9002
Fax: (305) 390-3003
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Alejandro G DPT
Phone: (305) 282-7252

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT25977 Florida

Profile Details

NPI number 1194082909
LBN Legal business name Premier Athletic Rehab Center Llc
DBA Doing business as
Authorized official Gonzalez, Alejandro G DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2012
Last updated Nov 19th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194082909 NPPES
Florida Other Y07QR BCBS
Florida Other 2801168 BCBS

Popular Providers