Provider Demographics
NPI:1992825285
Name:FLORIDA REHABILITATION SERVICES USA, INC
Entity Type:Organization
Organization Name:FLORIDA REHABILITATION SERVICES USA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:LUCIA
Authorized Official - Last Name:OSPINA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:305-606-6721
Mailing Address - Street 1:90 ALTON RD
Mailing Address - Street 2:SUITE # 1902
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-6707
Mailing Address - Country:US
Mailing Address - Phone:305-538-0886
Mailing Address - Fax:
Practice Address - Street 1:90 ALTON RD
Practice Address - Street 2:SUITE # 1902
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-6707
Practice Address - Country:US
Practice Address - Phone:305-538-0886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11212174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty