Provider Demographics
NPI:1619900735
Name:BISCAYNE INSTITUTES FOR HEALTH AND LIVING INC
Entity Type:Organization
Organization Name:BISCAYNE INSTITUTES FOR HEALTH AND LIVING INC
Other - Org Name:BISCAYNE REHABILITATION INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DICOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-932-8994
Mailing Address - Street 1:2785 NE 183RD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2171
Mailing Address - Country:US
Mailing Address - Phone:305-932-8994
Mailing Address - Fax:305-932-9362
Practice Address - Street 1:2785 NE 183RD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2171
Practice Address - Country:US
Practice Address - Phone:305-932-8994
Practice Address - Fax:305-932-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL881003600Medicaid
FL881003696Medicaid
FL881003696Medicaid
FL10-4599Medicare Oscar/Certification