Provider Demographics
NPI:1487824751
Name:FLORIDA HAND TEAM & ASSOCIATES MIRAMAR LLC
Entity Type:Organization
Organization Name:FLORIDA HAND TEAM & ASSOCIATES MIRAMAR LLC
Other - Org Name:HANDS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-524-2130
Mailing Address - Street 1:11352 MIRAMAR PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5805
Mailing Address - Country:US
Mailing Address - Phone:954-524-2130
Mailing Address - Fax:954-437-1033
Practice Address - Street 1:11352 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5805
Practice Address - Country:US
Practice Address - Phone:954-524-2130
Practice Address - Fax:954-437-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT82992251H1200X, 2251X0800X, 225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY933VOtherBCBS
FLY933VOtherBCBS