MEDICARE: BROWARD REHAB CENTER, INC.

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	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	HCC5348	FL

General Provider Information

NPI Number	:	1902948672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD REHAB CENTER, INC.

Provider Business Mailing Address
First Line	:	2659 W OAKLAND PARK BLVD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1355
Country	:	US
Telephone Number	:	954-733-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2659 W OAKLAND PARK BLVD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1355
Country	:	US
Telephone Number	:	954-733-9000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT C LEWIN
Credential	:	D.C.
Telephone Number	:	954-733-9000

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	08/22/2020

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