MEDICARE: REWIND MEDICAL, PC

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	207R00000X	Internal Medicine Physician
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1811608292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REWIND MEDICAL, PC

Provider Business Mailing Address
First Line	:	255 GIRALDA AVE OFC 6A121
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5002
Country	:	US
Telephone Number	:	415-528-0383
Fax Number	:	833-542-6371

Provider Business Practice Location Address
First Line	:	255 GIRALDA AVE OFC 6A121
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5002
Country	:	US
Telephone Number	:	734-519-6946
Fax Number	:	833-542-6371

Authorized Official
Title or Position	:	PROGRAM COORDINATOR
Name	:	AMARACHI ONYEBUEKE
Credential	:
Telephone Number	:	479-268-1905

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	05/11/2026

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