Provider Demographics
NPI:1578098737
Name:MIAMI NEUROLOGY & REHABILITATION SPECIALISTS, INC.
Entity Type:Organization
Organization Name:MIAMI NEUROLOGY & REHABILITATION SPECIALISTS, INC.
Other - Org Name:MNRS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-532-3560
Mailing Address - Street 1:5975 SUNSET DR
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5166
Mailing Address - Country:US
Mailing Address - Phone:786-532-3560
Mailing Address - Fax:
Practice Address - Street 1:5975 SUNSET DR
Practice Address - Street 2:SUITE 405
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5166
Practice Address - Country:US
Practice Address - Phone:786-532-3560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH97302251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty