Healthcare Provider Details

I. General information

NPI: 1902948672
Provider Name (Legal Business Name): BROWARD REHAB CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2659 W OAKLAND PARK BLVD
OAKLAND PARK FL
33311-1355
US

IV. Provider business mailing address

2659 W OAKLAND PARK BLVD
OAKLAND PARK FL
33311-1355
US

V. Phone/Fax

Practice location:
  • Phone: 954-733-9000
  • Fax:
Mailing address:
  • Phone: 954-733-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberHCC5348
License Number StateFL

VIII. Authorized Official

Name: DR. ROBERT C LEWIN
Title or Position: OWNER
Credential: D.C.
Phone: 954-733-9000