MEDICARE: FLORIDA CITY REHAB & MEDICAL CENTER

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1801225727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CITY REHAB & MEDICAL CENTER

Provider Business Mailing Address
First Line	:	3750 W 16TH AVE STE 108
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4645
Country	:	US
Telephone Number	:	305-818-7252
Fax Number	:	305-818-7262

Provider Business Practice Location Address
First Line	:	3750 W 16TH AVE STE 108
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4645
Country	:	US
Telephone Number	:	305-818-7252
Fax Number	:	305-818-7262

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERTO CUE
Credential	:
Telephone Number	:	305-818-7252

Provider Enumeration Date	:	11/01/2013
Last Update Date	:	11/01/2013

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