Provider Demographics
NPI:1639342298
Name:BROWARD HEALTH & REHAB CORPORATION
Entity Type:Organization
Organization Name:BROWARD HEALTH & REHAB CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-748-3700
Mailing Address - Street 1:4197 NW 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6040
Mailing Address - Country:US
Mailing Address - Phone:954-748-3700
Mailing Address - Fax:954-748-6235
Practice Address - Street 1:4197 NW 88TH AVE
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6040
Practice Address - Country:US
Practice Address - Phone:954-748-3700
Practice Address - Fax:954-748-6235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty