Provider Demographics
NPI:1073831913
Name:UNLIMITED REHABILITATION MEDICAL CENTER INC
Entity Type:Organization
Organization Name:UNLIMITED REHABILITATION MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARDINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-969-3031
Mailing Address - Street 1:3900 WOODLAKE BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3044
Mailing Address - Country:US
Mailing Address - Phone:561-969-3031
Mailing Address - Fax:561-969-3132
Practice Address - Street 1:3900 WOODLAKE BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3044
Practice Address - Country:US
Practice Address - Phone:561-969-3031
Practice Address - Fax:561-969-3132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-16
Last Update Date:2010-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8131261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFILE 8362OtherAHCA EXEMPT