Provider Demographics
NPI:1962443929
Name:SPRINGS REHAB CORP
Entity Type:Organization
Organization Name:SPRINGS REHAB CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FARIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTFI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-720-8445
Mailing Address - Street 1:10056 W MCNAB RD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1894
Mailing Address - Country:US
Mailing Address - Phone:954-720-8445
Mailing Address - Fax:954-720-8446
Practice Address - Street 1:10056 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1894
Practice Address - Country:US
Practice Address - Phone:954-720-8445
Practice Address - Fax:954-720-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5166040001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5166040001Medicare NSC