Healthcare Provider Details

I. General information

NPI: 1376464511
Provider Name (Legal Business Name): REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N DIXIE HWY STE 1007
HALLANDALE BEACH FL
33009-3986
US

IV. Provider business mailing address

501 N DIXIE HWY STE 1007
HALLANDALE BEACH FL
33009-3986
US

V. Phone/Fax

Practice location:
  • Phone: 954-376-3333
  • Fax: 954-999-4252
Mailing address:
  • Phone: 954-376-3333
  • Fax: 954-999-4252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICOLAS VIDRET
Title or Position: MANAGER
Credential:
Phone: 954-854-1110