Provider Demographics
NPI:1487847158
Name:E & M REHAB & MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:E & M REHAB & MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDNER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUZARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-274-8010
Mailing Address - Street 1:1893 NE 164TH ST
Mailing Address - Street 2:# 100
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4168
Mailing Address - Country:US
Mailing Address - Phone:786-274-8010
Mailing Address - Fax:786-274-8020
Practice Address - Street 1:1893 NE 164TH ST
Practice Address - Street 2:# 100
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4168
Practice Address - Country:US
Practice Address - Phone:786-274-8010
Practice Address - Fax:786-274-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5174111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty