Provider Demographics
NPI:1639360894
Name:BILTMORE REHAB THERAPY,INC.
Entity Type:Organization
Organization Name:BILTMORE REHAB THERAPY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:306-917-3816
Mailing Address - Street 1:215 SW 17 AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135
Mailing Address - Country:US
Mailing Address - Phone:305-917-3816
Mailing Address - Fax:305-541-1707
Practice Address - Street 1:215 SW 17 AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135
Practice Address - Country:US
Practice Address - Phone:305-917-3816
Practice Address - Fax:305-541-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy