Provider Demographics
NPI:1225314826
Name:GOOD HEALTH MEDICAL REHAB, INC.
Entity Type:Organization
Organization Name:GOOD HEALTH MEDICAL REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YVES
Authorized Official - Middle Name:MICHEL
Authorized Official - Last Name:LAVENTURE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:786-543-1508
Mailing Address - Street 1:2331 N STATE ROAD 7
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-3748
Mailing Address - Country:US
Mailing Address - Phone:754-223-5335
Mailing Address - Fax:754-223-5340
Practice Address - Street 1:2331 N STATE ROAD 7
Practice Address - Street 2:SUITE 108
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-3748
Practice Address - Country:US
Practice Address - Phone:754-223-5335
Practice Address - Fax:754-223-5340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7148261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service