Healthcare Provider Details

I. General information

NPI: 1437121738
Provider Name (Legal Business Name): BUTTERFLY REHABILITATION CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11063 TAMIAMI TRL E
NAPLES FL
34113-7718
US

IV. Provider business mailing address

8075 SW 107TH AVE SUITE 306
MIAMI FL
33173-4848
US

V. Phone/Fax

Practice location:
  • Phone: 305-992-2044
  • Fax: 239-775-1118
Mailing address:
  • Phone: 305-992-2044
  • Fax: 239-775-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number684876
License Number StateFL

VIII. Authorized Official

Name: MR. ANDY HEMCHAND
Title or Position: PRESIDENT CEO
Credential:
Phone: 305-992-2044