MEDICARE: UNIVERSITY PLAZA REHABILITATION AND NURSING 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	314000000X	Skilled Nursing Facility	00 UNDER REVIEW	FL

General Provider Information

NPI Number	:	1215272828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER, INC.

Provider Business Mailing Address
First Line	:	724 NW 19TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1202
Country	:	US
Telephone Number	:	305-917-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 NE 168TH ST
Second Line	:	SUITE 200
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3023
Country	:	US
Telephone Number	:	305-917-0400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	DR. WILLIAM ZUBKOFF
Credential	:	PHD
Telephone Number	:	305-917-0400

Provider Enumeration Date	:	12/07/2012
Last Update Date	:	12/07/2012

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