Healthcare Provider Details

I. General information

NPI: 1467802801
Provider Name (Legal Business Name): ACCIDENT REHAB DBA AMERICAN MEDICAL & REHAB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2016
Last Update Date: 06/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27315 S DIXIE HWY
NARANJA FL
33032-8232
US

IV. Provider business mailing address

27315 S DIXIE HWY
NARANJA FL
33032-8232
US

V. Phone/Fax

Practice location:
  • Phone: 305-245-3333
  • Fax: 305-245-3340
Mailing address:
  • Phone: 305-245-3333
  • Fax: 305-245-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA P. VASQUEZ
Title or Position: VICE PRESIDENT
Credential:
Phone: 305-305-7565