Provider Demographics
NPI:1023036092
Name:DAILY MEDICAL CENTER
Entity Type:Organization
Organization Name:DAILY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARISLEIVY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-443-3555
Mailing Address - Street 1:4882 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2102
Mailing Address - Country:US
Mailing Address - Phone:305-443-3555
Mailing Address - Fax:305-443-9171
Practice Address - Street 1:4882 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2102
Practice Address - Country:US
Practice Address - Phone:305-443-3555
Practice Address - Fax:305-443-9171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683221Medicare Oscar/Certification