Healthcare Provider Details

I. General information

NPI: 1982265914
Provider Name (Legal Business Name): PRM OF FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 05/23/2021
Certification Date: 05/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 SW 37TH AVE STE 701
CORAL GABLES FL
33133-2750
US

IV. Provider business mailing address

2090 PALM BEACH LAKES BLVD STE 700
WEST PALM BEACH FL
33409-6508
US

V. Phone/Fax

Practice location:
  • Phone: 305-808-3060
  • Fax: 305-808-3051
Mailing address:
  • Phone: 561-805-3875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA SOLIMINE
Title or Position: VICE PRESIDENT, OPERATIONS
Credential:
Phone: 646-481-4998