Provider Demographics
NPI:1033462254
Name:B&C REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:B&C REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAPTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-603-9388
Mailing Address - Street 1:1800 SW 27TH AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2400
Mailing Address - Country:US
Mailing Address - Phone:305-603-9388
Mailing Address - Fax:305-982-8137
Practice Address - Street 1:1800 SW 27TH AVE STE 403
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2400
Practice Address - Country:US
Practice Address - Phone:305-603-9388
Practice Address - Fax:305-982-8137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM28892273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMM28892OtherMASSAGE ESTABLISHMENT