Healthcare Provider Details

I. General information

NPI: 1912186057
Provider Name (Legal Business Name): SUNSET REHAB SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SW 72ND ST
MIAMI FL
33173-3012
US

IV. Provider business mailing address

10300 SW 72ND ST
MIAMI FL
33173-3012
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-3549
  • Fax: 305-271-3257
Mailing address:
  • Phone: 305-271-3549
  • Fax: 305-271-3257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. NELSON P PADRON
Title or Position: PRESIDENT
Credential:
Phone: 305-271-3549