Healthcare Provider Details

I. General information

NPI: 1972932879
Provider Name (Legal Business Name): CROSSWINDS REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 10/08/2021
Certification Date: 10/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13455 W US HWY 90
GREENVILLE FL
32331
US

IV. Provider business mailing address

4700 SHERIDAN ST STE B
HOLLYWOOD FL
33021-3420
US

V. Phone/Fax

Practice location:
  • Phone: 850-948-4601
  • Fax: 850-948-6428
Mailing address:
  • Phone: 954-367-4563
  • Fax: 954-367-4563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: MARGARET FERNANDEZ
Title or Position: CFO
Credential:
Phone: 954-367-4563