Provider Demographics
NPI:1619176369
Name:TWO AND TWO, LLC
Entity Type:Organization
Organization Name:TWO AND TWO, LLC
Other - Org Name:COMPLETE REHAB AND MEDICAL CENTER OF HOLLYWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-322-9798
Mailing Address - Street 1:6067 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-7947
Mailing Address - Country:US
Mailing Address - Phone:954-322-9798
Mailing Address - Fax:954-322-9787
Practice Address - Street 1:6067 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-7947
Practice Address - Country:US
Practice Address - Phone:954-322-9798
Practice Address - Fax:954-322-9787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization