Provider Demographics
NPI:1598824435
Name:FLORIDA REHABILITATION SERVICES
Entity Type:Organization
Organization Name:FLORIDA REHABILITATION SERVICES
Other - Org Name:ACCELERATED REHABILITATION CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BOLERA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:531-827-5824
Mailing Address - Street 1:2252 WAYCROSS ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240
Mailing Address - Country:US
Mailing Address - Phone:513-742-2333
Mailing Address - Fax:513-742-0943
Practice Address - Street 1:1100 S MAIN STREET
Practice Address - Street 2:SUITE 13
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430
Practice Address - Country:US
Practice Address - Phone:561-996-8086
Practice Address - Fax:561-996-2905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
686614Medicare ID - Type Unspecified