Provider Demographics
NPI:1265851794
Name:UNIQUE REHABILITATION SERVICES OF FLORIDA INC
Entity Type:Organization
Organization Name:UNIQUE REHABILITATION SERVICES OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CESPEDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-356-8973
Mailing Address - Street 1:2500 NW 79TH AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1083
Mailing Address - Country:US
Mailing Address - Phone:786-356-8973
Mailing Address - Fax:786-206-3826
Practice Address - Street 1:2500 NW 79TH AVE STE 180
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1083
Practice Address - Country:US
Practice Address - Phone:786-356-8973
Practice Address - Fax:786-206-3826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11815261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service