Provider Demographics
NPI:1891700373
Name:SOUTH FLORIDA REHABILITATION CONSULTANTS INC
Entity Type:Organization
Organization Name:SOUTH FLORIDA REHABILITATION CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FULVIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-412-9099
Mailing Address - Street 1:11301 S DIXIE HWY UNIT 565841
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-7244
Mailing Address - Country:US
Mailing Address - Phone:305-412-9099
Mailing Address - Fax:305-412-9098
Practice Address - Street 1:8440 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3556
Practice Address - Country:US
Practice Address - Phone:786-554-0949
Practice Address - Fax:305-412-9098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLX1495Medicare ID - Type Unspecified