Provider Demographics
NPI:1073744843
Name:ACUREHAB & MEDICAL CENTER INC
Entity Type:Organization
Organization Name:ACUREHAB & MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGOIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-535-1919
Mailing Address - Street 1:612 N. STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063
Mailing Address - Country:US
Mailing Address - Phone:954-535-1919
Mailing Address - Fax:954-973-3514
Practice Address - Street 1:612 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33068-1734
Practice Address - Country:US
Practice Address - Phone:954-535-1919
Practice Address - Fax:954-973-3514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2497213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ748Medicare PIN