MEDICARE: CIRCLE OF CARE REHAB 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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1649445404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE OF CARE REHAB INC

Provider Business Mailing Address
First Line	:	14335 SW 120TH ST
Second Line	:	SUITE 206
City	:	MIAMI
State	:	FL
Zip	:	33186-7294
Country	:	US
Telephone Number	:	786-873-0821
Fax Number	:

Provider Business Practice Location Address
First Line	:	14335 SW 120TH ST
Second Line	:	SUITE 206
City	:	MIAMI
State	:	FL
Zip	:	33186-7294
Country	:	US
Telephone Number	:	786-873-0821
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CINDY C ACOSTA
Credential	:
Telephone Number	:	786-873-0821

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	04/23/2008

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Directions to “CIRCLE OF CARE REHAB INC ” Practice Location

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