MEDICARE: ATLANTIC REHABILITATION 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	225400000X	Rehabilitation Practitioner	050815	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y914S	OTHER	FL	BLUE CROSS BLU SHEILD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346307295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC REHABILITATION CENTER, CORP.

Provider Business Mailing Address
First Line	:	16249 BISCAYNE BLVD
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33160-4300
Country	:	US
Telephone Number	:	305-405-0400
Fax Number	:	305-405-0415

Provider Business Practice Location Address
First Line	:	17900 NW 5TH ST STE 102
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2809
Country	:	US
Telephone Number	:	954-367-4000
Fax Number	:	954-367-4010

Authorized Official
Title or Position	:	OWNER, MPT
Name	:	JOSEPH CAROCCIO
Credential	:
Telephone Number	:	305-405-0400

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	06/18/2024

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Directions to “ATLANTIC REHABILITATION CENTER, CORP. ” Practice Location

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