Provider Demographics
NPI:1619202181
Name:CYPRESS REHAB CENTER
Entity Type:Organization
Organization Name:CYPRESS REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-728-5500
Mailing Address - Street 1:13721 CYPRESS TERRACE CIR
Mailing Address - Street 2:SUITE 701
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-8829
Mailing Address - Country:US
Mailing Address - Phone:239-728-5500
Mailing Address - Fax:
Practice Address - Street 1:13721 CYPRESS TERRACE CIR
Practice Address - Street 2:SUITE 701
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-8829
Practice Address - Country:US
Practice Address - Phone:239-728-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center