MEDICARE: MED DIAGNOSTIC REHAB OF SOUTH FLORIDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	686684	OTHER	FL	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1588987069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED DIAGNOSTIC REHAB OF SOUTH FLORIDA

Provider Business Mailing Address
First Line	:	8188 JOG RD
Second Line	:	SUITE 102
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2952
Country	:	US
Telephone Number	:	561-649-5720
Fax Number	:	561-649-5719

Provider Business Practice Location Address
First Line	:	8188 JOG RD
Second Line	:	SUITE 102
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2952
Country	:	US
Telephone Number	:	561-649-5720
Fax Number	:	561-649-5719

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICHARD HOFFMAN
Credential	:
Telephone Number	:	561-312-1120

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	03/11/2010

Similar Medicare Providers

1437118676 — RICHARD A CAPPIELLO M D P A
Practice Location Address:

8188 JOG RD , SUITE 102
BOYNTON BEACH, FL
33472-2952

Practice Phone: 561-737-1947
Practice Fax: 561-737-9074

1497710719 — DR. INGRID L ISDITH D.O.
Practice Location Address:

8188 S JOG RD , SUITE 203
BOYNTON BEACH, FL
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Practice Phone: 561-740-1911
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1366543910 — DR. JOHN E BRITT M.D.
Practice Location Address:

8188 S JOG RD , SUITE 102
BOYNTON BEACH, FL
33472-2952

Practice Phone: 561-798-6600
Practice Fax: 561-753-3328

1992938203 — MRS. MELISSA ROSE MORA D.O
Practice Location Address:

8188 S JOG RD STE 205
BOYNTON BEACH, FL
33472-2952

Practice Phone: 561-231-5200
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1346578838 — CARDIOLOGY ASSOCIATES OF SOUTH FLORIDA, P.A.
Practice Location Address:

8188 JOG RD , SUITE 100
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33472-2952

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1629364583 — MRS. REINA MENDELSON NP
Practice Location Address:

8188 S JOG RD , SUITE 204
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33472-2952

Practice Phone: 305-401-6341
Practice Fax:

Directions to “MED DIAGNOSTIC REHAB OF SOUTH FLORIDA ” Practice Location

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