Provider Demographics
NPI:1154473056
Name:CORAL REHABILITATION CENTERS, INC
Entity Type:Organization
Organization Name:CORAL REHABILITATION CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-979-1000
Mailing Address - Street 1:1315 LYONS RD
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3927
Mailing Address - Country:US
Mailing Address - Phone:954-979-1000
Mailing Address - Fax:954-979-0784
Practice Address - Street 1:1315 LYONS RD
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33063-3927
Practice Address - Country:US
Practice Address - Phone:954-979-1000
Practice Address - Fax:954-979-0784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN
FL=========OtherEIN