MEDICARE: FLORIDA REHABILITATION SERVICES USA, 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	174400000X	Specialist	OT11212	FL

General Provider Information

NPI Number	:	1992825285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA REHABILITATION SERVICES USA, INC

Provider Business Mailing Address
First Line	:	90 ALTON RD
Second Line	:	SUITE # 1902
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6707
Country	:	US
Telephone Number	:	305-538-0886
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 ALTON RD
Second Line	:	SUITE # 1902
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6707
Country	:	US
Telephone Number	:	305-538-0886
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	OLGA LUCIA OSPINA
Credential	:	OTR
Telephone Number	:	305-606-6721

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	09/21/2007

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