MEDICARE: ONE FAMILY HEALTH LLC

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	261QR0400X	Rehabilitation Clinic/Center		FL

General Provider Information

NPI Number	:	1366809766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE FAMILY HEALTH LLC

Provider Business Mailing Address
First Line	:	8700 W FLAGLER ST
Second Line	:	SUITE 285
City	:	MIAMI
State	:	FL
Zip	:	33174-2401
Country	:	US
Telephone Number	:	786-516-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 W FLAGLER ST
Second Line	:	SUITE 285
City	:	MIAMI
State	:	FL
Zip	:	33174-2401
Country	:	US
Telephone Number	:	786-516-2000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRYSTAL RAKO
Credential	:
Telephone Number	:	786-516-2000

Provider Enumeration Date	:	01/15/2016
Last Update Date	:	06/24/2016

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Directions to “ONE FAMILY HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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