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NPI Code Detail

MEDICARE: ELITE REHABILITATION INC

MEDICARE: ELITE REHABILITATION 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
1261QP2000XPhysical Therapy Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K7626OTHERFLMEDICARE LEGACY

General Provider Information

NPI Number : 1730168675
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE REHABILITATION INC
Provider Business Mailing Address
First Line : 900 W 49TH ST
Second Line : STE 216
City : HIALEAH
State : FL
Zip : 33012-3402
Country : US
Telephone Number : 305-836-4346
Fax Number : 305-836-5904
Provider Business Practice Location Address
First Line : 900 W 49TH ST
Second Line : STE 216
City : HIALEAH
State : FL
Zip : 33012-3402
Country : US
Telephone Number : 305-836-4346
Fax Number : 305-836-5904
Authorized Official
Title or Position : PRESIDENT
Name : SONIA ANGUEIRA
Credential :
Telephone Number : 305-836-4345
Provider Enumeration Date : 01/10/2006
Last Update Date : 04/24/2008

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Directions to “ELITE REHABILITATION INC ” Practice Location

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