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NPI Code Detail

MEDICARE: SUNDANCE REHAB

MEDICARE: SUNDANCE REHAB
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
1310400000XAssisted Living FacilityPT16292FL

General Provider Information

NPI Number : 1508188780
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNDANCE REHAB
Provider Business Mailing Address
First Line : 100 SE 11TH CT
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-6620
Country : US
Telephone Number : 954-254-8135
Fax Number :
Provider Business Practice Location Address
First Line : 2480 N PARK RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3744
Country : US
Telephone Number : 954-961-9522
Fax Number :
Authorized Official
Title or Position : STAFF PT
Name : BARBARA CUFF
Credential : PT
Telephone Number : 954-961-9522
Provider Enumeration Date : 02/16/2010
Last Update Date : 02/16/2010

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Directions to “SUNDANCE REHAB ” Practice Location

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