Provider Demographics
NPI:1386682474
Name:MULTICARE REHABILITATION LLC
Entity Type:Organization
Organization Name:MULTICARE REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNY
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-473-8925
Mailing Address - Street 1:2215 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5813
Mailing Address - Country:US
Mailing Address - Phone:954-473-8925
Mailing Address - Fax:954-473-5993
Practice Address - Street 1:2215 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5813
Practice Address - Country:US
Practice Address - Phone:954-473-8925
Practice Address - Fax:954-473-5993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9381Medicare PIN