Provider Demographics
NPI:1235153651
Name:SPRINGS REHAB CORP
Entity Type:Organization
Organization Name:SPRINGS REHAB CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTFI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-720-8445
Mailing Address - Street 1:12760 NW 78 MNR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076
Mailing Address - Country:US
Mailing Address - Phone:954-720-8445
Mailing Address - Fax:954-341-4076
Practice Address - Street 1:12760 NW 78MNR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076
Practice Address - Country:US
Practice Address - Phone:954-720-8445
Practice Address - Fax:954-341-4076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2009-11-23
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
FLY8974OtherBCBS
FL=========OtherCOMMERCIAL INS/HUMANA
FLY8974OtherBCBS