MEDICARE: MIAMI SPRINGS REHABILITION CENTER CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine

General Provider Information

NPI Number	:	1093756892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI SPRINGS REHABILITION CENTER CORP

Provider Business Mailing Address
First Line	:	286 WESTWARD DR
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5260
Country	:	US
Telephone Number	:	305-863-8649
Fax Number	:	305-863-8648

Provider Business Practice Location Address
First Line	:	286 WESTWARD DR
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5260
Country	:	US
Telephone Number	:	305-863-8649
Fax Number	:	305-863-8648

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIA DANIEL
Credential	:
Telephone Number	:	305-863-8649

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	08/22/2020

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