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General NPI Number Information
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NPI Number | 1073785291
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Entity Type | Organization
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Legal Business Name | AMEDICARE REHAB CENTER
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 11117 W OKEECHOBEE RD STE 209
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City | HIALEAH
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State | FL
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Zip | 33018-4211
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Country | US
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Telephone | 786-357-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 5891 W 9TH LN
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City | HIALEAH
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State | FL
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Zip | 33012-2358
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Country | US
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Telephone | 786-357-8111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LILIANA M HADFEG
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Credential |
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Telephone | 786-357-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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