Healthcare Provider Details

I. General information

NPI: 1114014420
Provider Name (Legal Business Name): GABRIEL REHABILITATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 JUNO OCEAN WALK SUITE 504 C
JUNO BEACH FL
33408-1119
US

IV. Provider business mailing address

790 JUNO OCEAN WALK SUITE 504 C
JUNO BEACH FL
33408-1119
US

V. Phone/Fax

Practice location:
  • Phone: 561-627-2525
  • Fax: 561-627-2501
Mailing address:
  • Phone: 561-627-2525
  • Fax: 561-627-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. CLIFTON W RIZER
Title or Position: PRESIDENT
Credential: P.T.
Phone: 561-627-2525