Provider Demographics
NPI:1831471887
Name:RECOVERY THERAPY CENTER, INC
Entity Type:Organization
Organization Name:RECOVERY THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-513-9447
Mailing Address - Street 1:3900 NW 79TH AVE STE 562
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6572
Mailing Address - Country:US
Mailing Address - Phone:305-513-9447
Mailing Address - Fax:305-513-9447
Practice Address - Street 1:3900 NW 79TH AVE STE 562
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6572
Practice Address - Country:US
Practice Address - Phone:305-513-9447
Practice Address - Fax:305-513-9447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM 27283261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy