Provider Demographics
NPI:1396186359
Name:SUNLAND THERAPY & REHAB CENTER CORP
Entity Type:Organization
Organization Name:SUNLAND THERAPY & REHAB CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERVYS
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-234-3553
Mailing Address - Street 1:13850 SW 143RD CT
Mailing Address - Street 2:18
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6120
Mailing Address - Country:US
Mailing Address - Phone:305-234-3563
Mailing Address - Fax:305-234-3564
Practice Address - Street 1:13850 SW 143RD CT
Practice Address - Street 2:18
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6120
Practice Address - Country:US
Practice Address - Phone:305-234-3563
Practice Address - Fax:305-234-3564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-07
Last Update Date:2013-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT17474261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy