Healthcare Provider Details
I. General information
NPI: 1306826425
Provider Name (Legal Business Name): INTERNATIONAL REHAB SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/17/2006
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7878 NW 52ND ST
DORAL FL
33166-4742
US
IV. Provider business mailing address
7878 NW 52ND ST
DORAL FL
33166-4742
US
V. Phone/Fax
- Phone: 786-331-7444
- Fax: 305-675-2755
- Phone: 786-331-7444
- Fax: 305-675-2755
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDY
F
ZAPATA
Title or Position: PRESIDENT
Credential: OTR L
Phone: 786-331-7444