Provider Demographics
NPI:1891739124
Name:ASSOCIATES REHABILITATION INC
Entity Type:Organization
Organization Name:ASSOCIATES REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:I
Authorized Official - Last Name:KIZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-552-9505
Mailing Address - Street 1:11231 NW 20TH ST UNIT 139
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1858
Mailing Address - Country:US
Mailing Address - Phone:305-552-9505
Mailing Address - Fax:305-552-9953
Practice Address - Street 1:11231 NW 20TH ST UNIT 139
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-1858
Practice Address - Country:US
Practice Address - Phone:305-552-9505
Practice Address - Fax:305-552-9953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003380400Medicaid
FL003380400Medicaid