Healthcare Provider Details

I. General information

NPI: 1063601789
Provider Name (Legal Business Name): THE REHAB INSTITUTE OF SOUTH FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13455 MILITARY TRL SUITE B
DELRAY BEACH FL
33484-1320
US

IV. Provider business mailing address

13455 MILITARY TRL SUITE B
DELRAY BEACH FL
33484-1320
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-5000
  • Fax:
Mailing address:
  • Phone: 561-498-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ROSELIA INGUANZO-MARTIN
Title or Position: PRESIDENT
Credential:
Phone: 561-498-5000