Provider Demographics
NPI:1376564617
Name:FLORIDA REHABILITATION SERVICES LLC
Entity Type:Organization
Organization Name:FLORIDA REHABILITATION SERVICES LLC
Other - Org Name:ACCELERATED REHABILITATION CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BOLERA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-742-5711
Mailing Address - Street 1:2252 WAYCROSS ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240
Mailing Address - Country:US
Mailing Address - Phone:513-742-2333
Mailing Address - Fax:513-742-0943
Practice Address - Street 1:106 PONCE DE LEON ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1213
Practice Address - Country:US
Practice Address - Phone:561-624-2706
Practice Address - Fax:561-791-9071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
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
686614Medicare ID - Type Unspecified