Healthcare Provider Details

I. General information

NPI: 1487290276
Provider Name (Legal Business Name): FLAGLER REHAB & THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2019
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8370 W FLAGLER ST STE 118
MIAMI FL
33144-2038
US

IV. Provider business mailing address

8370 W FLAGLER ST STE 118
MIAMI FL
33144-2038
US

V. Phone/Fax

Practice location:
  • Phone: 786-539-7315
  • Fax:
Mailing address:
  • Phone: 786-539-7315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANAY ACEVEDO
Title or Position: OWNNER
Credential:
Phone: 786-539-7315