Provider Demographics
NPI:1679737977
Name:INJURY AND REHAB SPECIALISTS LLC
Entity Type:Organization
Organization Name:INJURY AND REHAB SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-455-9924
Mailing Address - Street 1:21218 SAINT ANDREWS BLVD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2449
Mailing Address - Country:US
Mailing Address - Phone:561-455-9924
Mailing Address - Fax:561-584-6666
Practice Address - Street 1:21218 SAINT ANDREWS BLVD
Practice Address - Street 2:SUITE 113
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2449
Practice Address - Country:US
Practice Address - Phone:561-455-9924
Practice Address - Fax:561-584-6666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9623261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service