Healthcare Provider Details

I. General information

NPI: 1922100767
Provider Name (Legal Business Name): REHABXPERIENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 10/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NW 70TH AVE STE A
PLANTATION FL
33317-2349
US

IV. Provider business mailing address

350 NW 70TH AVE STE A
PLANTATION FL
33317-2349
US

V. Phone/Fax

Practice location:
  • Phone: 954-741-2221
  • Fax: 954-741-2155
Mailing address:
  • Phone: 954-741-2221
  • Fax: 954-741-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT 0006687
License Number StateFL

VIII. Authorized Official

Name: MR. OFER AMIT
Title or Position: MANAGING MEMBER AND CEO
Credential:
Phone: 954-741-2221