Healthcare Provider Details

I. General information

NPI: 1639244981
Provider Name (Legal Business Name): UNITED HEALTH & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3085 NE 163RD ST
N MIAMI BEACH FL
33160-4424
US

IV. Provider business mailing address

3085 NE 163RD ST
N MIAMI BEACH FL
33160-4424
US

V. Phone/Fax

Practice location:
  • Phone: 305-945-4973
  • Fax: 305-945-9430
Mailing address:
  • Phone: 305-945-4973
  • Fax: 305-945-9430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8241
License Number StateFL

VIII. Authorized Official

Name: MARC A NESTOR
Title or Position: PRESIDENT
Credential: DC
Phone: 305-945-4973