MEDICARE: FONT & BOU REHAB ASSOCIATES, 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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1871546309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FONT & BOU REHAB ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	14100 PALMETTO FRONTAGE RD
Second Line	:	SUITE 380
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-1569
Country	:	US
Telephone Number	:	305-822-1552
Fax Number	:	305-825-8227

Provider Business Practice Location Address
First Line	:	14100 PALMETTO FRONTAGE RD
Second Line	:	SUITE 380
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-1569
Country	:	US
Telephone Number	:	305-822-1552
Fax Number	:	305-825-8227

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. GRICEL FONT
Credential	:
Telephone Number	:	305-822-1552

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

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