MEDICARE: UMC REHAB SERVICES 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MA569O9	OTHER	FL	MASSAGE THERAPIST

General Provider Information

NPI Number	:	1710314471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UMC REHAB SERVICES INC

Provider Business Mailing Address
First Line	:	1150 NW 72ND AVE STE 307
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 NW 72ND AVE STE 307
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1920
Country	:	US
Telephone Number	:	305-436-0307
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOELVIS SORIS
Credential	:
Telephone Number	:	305-436-0307

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	09/26/2013

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Directions to “UMC REHAB SERVICES INC ” Practice Location

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