Provider Demographics
NPI:1922271683
Name:ACCELERATED HEALTH SYSTEMS OF FLORIDA, LLC
Entity Type:Organization
Organization Name:ACCELERATED HEALTH SYSTEMS OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-624-2706
Mailing Address - Street 1:PO BOX 635366
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5366
Mailing Address - Country:US
Mailing Address - Phone:800-820-6521
Mailing Address - Fax:513-742-0943
Practice Address - Street 1:4175 S CONGRESS AVE
Practice Address - Street 2:SUITE W
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4725
Practice Address - Country:US
Practice Address - Phone:561-296-6202
Practice Address - Fax:561-296-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4194Medicare PIN