Provider Demographics
NPI:1417945957
Name:THE FLAGLER INSTITUTE FOR REHABILITATION INC
Entity Type:Organization
Organization Name:THE FLAGLER INSTITUTE FOR REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:STAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO, MS, MPH, FAAFP
Authorized Official - Phone:561-832-1894
Mailing Address - Street 1:311 GOLF RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-5509
Mailing Address - Country:US
Mailing Address - Phone:561-833-1747
Mailing Address - Fax:561-833-1394
Practice Address - Street 1:311 GOLF RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-5509
Practice Address - Country:US
Practice Address - Phone:561-833-1747
Practice Address - Fax:561-833-1394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104893225400000X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-4893Other10-4893