MEDICARE: SELECT MEDICAL CLINIC, 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	261Q00000X	Clinic/Center		FL
2	261Q00000X	Clinic/Center	HCC5314	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HCC5314	OTHER	FL	AHCA LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659504199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT MEDICAL CLINIC, INC

Provider Business Mailing Address
First Line	:	16601 NE 6TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3607
Country	:	US
Telephone Number	:	305-956-2707
Fax Number	:	305-956-9079

Provider Business Practice Location Address
First Line	:	16601 NE 6TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3607
Country	:	US
Telephone Number	:	305-956-2707
Fax Number	:	305-956-9079

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROSE M AUGUSTIN
Credential	:
Telephone Number	:	786-554-2891

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	02/04/2026

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