Healthcare Provider Details

I. General information

NPI: 1053240283
Provider Name (Legal Business Name): FL NATIONAL N CARE REHAB CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NW 72ND AVE STE 3072
MIAMI FL
33126-3188
US

IV. Provider business mailing address

777 NW 72ND AVE STE 3072
MIAMI FL
33126-3188
US

V. Phone/Fax

Practice location:
  • Phone: 305-330-3012
  • Fax: 786-600-0512
Mailing address:
  • Phone: 305-330-3012
  • Fax: 786-600-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CONDE CONDE
Title or Position: OFFICER
Credential:
Phone: 305-330-3012