Provider Demographics
NPI:1376879262
Name:SOUTH FLORIDA INSTITUTE OF WELLNESS & REHAB.
Entity Type:Organization
Organization Name:SOUTH FLORIDA INSTITUTE OF WELLNESS & REHAB.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-859-4919
Mailing Address - Street 1:1378 CORAL WAY FL 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2943
Mailing Address - Country:US
Mailing Address - Phone:305-859-4919
Mailing Address - Fax:305-859-4921
Practice Address - Street 1:1378 CORAL WAY FL 4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2943
Practice Address - Country:US
Practice Address - Phone:305-859-4919
Practice Address - Fax:305-859-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center