Healthcare Provider Details
I. General information
NPI: 1154682276
Provider Name (Legal Business Name): GLOBAL HEALTH & REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2012
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 S FEDERAL HWY STE 390
POMPANO BEACH FL
33062-7553
US
IV. Provider business mailing address
1600 S FEDERAL HWY STE 300
POMPANO BEACH FL
33062-7522
US
V. Phone/Fax
- Phone: 954-942-8085
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | CH8093 |
| License Number State | FL |
VIII. Authorized Official
Name:
DANNY
FEDER
Title or Position: PRESIDENT
Credential:
Phone: 954-942-8085