Healthcare Provider Details

I. General information

NPI: 1073785291
Provider Name (Legal Business Name): AMEDICARE REHAB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11117 W OKEECHOBEE RD STE 209
HIALEAH FL
33018-4211
US

IV. Provider business mailing address

5891 W 9TH LN
HIALEAH FL
33012-2358
US

V. Phone/Fax

Practice location:
  • Phone: 786-357-8111
  • Fax:
Mailing address:
  • Phone: 786-357-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LILIANA M HADFEG
Title or Position: PRESIDENT
Credential:
Phone: 786-357-8111