MEDICARE: MEDAMERICA REHAB CENTER INC.

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	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154363331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDAMERICA REHAB CENTER INC.

Provider Business Mailing Address
First Line	:	3275 W. MILLSBORO BLVD
Second Line	:	SUITE 210
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9476
Country	:	US
Telephone Number	:	954-428-4707
Fax Number	:	954-698-9314

Provider Business Practice Location Address
First Line	:	3275 W MILLSBORO BLVD
Second Line	:	SUITE 210
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9476
Country	:	US
Telephone Number	:	954-428-4707
Fax Number	:	954-698-9314

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARIELLE S LEAVITT
Credential	:
Telephone Number	:	954-428-4707

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	12/06/2013

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