Provider Demographics
NPI:1538677158
Name:GENERAL FAMILY REHAB INC
Entity Type:Organization
Organization Name:GENERAL FAMILY REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEIDICH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-990-4852
Mailing Address - Street 1:2880 W OAKLAND PARK BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1368
Mailing Address - Country:US
Mailing Address - Phone:954-990-4852
Mailing Address - Fax:954-990-4532
Practice Address - Street 1:2880 W OAKLAND PARK BLVD STE 226
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1368
Practice Address - Country:US
Practice Address - Phone:954-990-4852
Practice Address - Fax:954-990-4532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty