Provider Demographics
NPI:1124022025
Name:GET TO THE CORE, INC.
Entity Type:Organization
Organization Name:GET TO THE CORE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DYAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:QUESADA
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:954-351-7009
Mailing Address - Street 1:1815 E COMMERCIAL BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3746
Mailing Address - Country:US
Mailing Address - Phone:954-351-7009
Mailing Address - Fax:954-351-0059
Practice Address - Street 1:1815 E COMMERCIAL BLVD
Practice Address - Street 2:STE 105
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3746
Practice Address - Country:US
Practice Address - Phone:954-351-7009
Practice Address - Fax:954-351-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT14768261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686679Medicare Oscar/Certification
FLGG5Medicare ID - Type UnspecifiedFACILITY NUMBER