Provider Demographics
NPI:1659313450
Name:ABBY ASSOCIATES REHABILITATION CENTER, INC.
Entity Type:Organization
Organization Name:ABBY ASSOCIATES REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANADEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-485-8434
Mailing Address - Street 1:11880 BIRD RD
Mailing Address - Street 2:SUITE # 406
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3584
Mailing Address - Country:US
Mailing Address - Phone:305-485-8434
Mailing Address - Fax:305-485-8435
Practice Address - Street 1:11880 BIRD RD
Practice Address - Street 2:SUITE # 406
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3584
Practice Address - Country:US
Practice Address - Phone:305-485-8434
Practice Address - Fax:305-485-8435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684560Medicare ID - Type UnspecifiedCORF