MEDICARE: NEXT GEN REHAB 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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1518784263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT GEN REHAB LLC

Provider Business Mailing Address
First Line	:	5000 SUGAR BAY ST
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33872-2116
Country	:	US
Telephone Number	:	305-984-5355
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 SUGAR BAY ST
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33872-2116
Country	:	US
Telephone Number	:	305-984-5355
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARLOS CASTILLA
Credential	:
Telephone Number	:	305-984-5355

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	09/24/2024

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Directions to “NEXT GEN REHAB LLC ” Practice Location

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