Provider Demographics
NPI:1114014420
Name:GABRIEL REHABILITATION, INC
Entity Type:Organization
Organization Name:GABRIEL REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:W
Authorized Official - Last Name:RIZER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-627-2525
Mailing Address - Street 1:790 JUNO OCEAN WALK
Mailing Address - Street 2:SUITE 504 C
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-1119
Mailing Address - Country:US
Mailing Address - Phone:561-627-2525
Mailing Address - Fax:561-627-2501
Practice Address - Street 1:790 JUNO OCEAN WALK
Practice Address - Street 2:SUITE 504 C
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-1119
Practice Address - Country:US
Practice Address - Phone:561-627-2525
Practice Address - Fax:561-627-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1315960001Medicare NSC
FLK1985Medicare PIN