Provider Demographics
NPI:1679879217
Name:BRIT REHABILITATION CENTER
Entity Type:Organization
Organization Name:BRIT REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:ZULUETA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:561-967-8185
Mailing Address - Street 1:2166 JOG RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6015
Mailing Address - Country:US
Mailing Address - Phone:561-967-8185
Mailing Address - Fax:
Practice Address - Street 1:2166 JOG RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33415-6015
Practice Address - Country:US
Practice Address - Phone:561-967-8185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-30
Last Update Date:2011-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 39065246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty