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NPI 1487181400

NPI 1487181400 : TAMIAMI REHAB CENTER CORP : DORAL, FL

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General NPI Number Information
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    NPI Number           |    1487181400
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAMIAMI REHAB CENTER CORP 
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Dates
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    Enumeration Date     |    05/22/2017
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    7950 NW 53RD ST STE 122 
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33166-4635
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    Country              |    US
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    Telephone            |    786-359-4999
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    Fax                  |    786-359-4843
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Provider Business Mailing Address
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    Address Line         |    7950 NW 53RD ST STE 122 
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33166-4635
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    Country              |    US
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    Telephone            |    786-359-4999
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    Fax                  |    786-359-4843
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BAYRON  MALGOR 
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    Credential           |    
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    Telephone            |    305-484-9205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    HCC11031
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    207RG0300X
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    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    HCC11031
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    License Number State |    FL
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