MEDICARE: G&S MEDICAL AND REHABILITATION CENTER, 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	261QP2000X	Physical Therapy Clinic/Center	MA67740	FL

General Provider Information

NPI Number	:	1891042693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&S MEDICAL AND REHABILITATION CENTER, INC

Provider Business Mailing Address
First Line	:	7590 NW 186TH ST STE 104
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2952
Country	:	US
Telephone Number	:	305-819-7880
Fax Number	:

Provider Business Practice Location Address
First Line	:	7590 NW 186TH ST STE 104
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2952
Country	:	US
Telephone Number	:	305-819-7880
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MR. HANDRIE MARENO
Credential	:
Telephone Number	:	305-819-7880

Provider Enumeration Date	:	08/10/2012
Last Update Date	:	08/10/2012

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