Provider Demographics
NPI:1467949255
Name:DADE MEDICS & REHAB CENTER LLC
Entity Type:Organization
Organization Name:DADE MEDICS & REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:BELFAST
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:786-768-8686
Mailing Address - Street 1:8260 W FLAGLER ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2069
Mailing Address - Country:US
Mailing Address - Phone:305-982-8586
Mailing Address - Fax:305-640-8192
Practice Address - Street 1:8260 W FLAGLER ST STE 2B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2069
Practice Address - Country:US
Practice Address - Phone:305-982-8586
Practice Address - Fax:305-640-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy