Provider Demographics
NPI:1093808479
Name:PROFESSIONAL TOUCH REHAB INC
Entity Type:Organization
Organization Name:PROFESSIONAL TOUCH REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEMEROFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-586-3400
Mailing Address - Street 1:1111 HYPOLUXO RD
Mailing Address - Street 2:107
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4271
Mailing Address - Country:US
Mailing Address - Phone:561-583-3400
Mailing Address - Fax:561-585-0079
Practice Address - Street 1:1111 HYPOLUXO RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-4271
Practice Address - Country:US
Practice Address - Phone:561-557-5702
Practice Address - Fax:561-557-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106832AMedicare PIN