Provider Demographics
NPI:1023272184
Name:DISABLED AND ABLE BODIES, INC.
Entity type:Organization
Organization Name:DISABLED AND ABLE BODIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:C
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:305-281-6505
Mailing Address - Street 1:14335 SW 120TH ST
Mailing Address - Street 2:SUITE # 113
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7294
Mailing Address - Country:US
Mailing Address - Phone:305-382-6968
Mailing Address - Fax:305-397-1409
Practice Address - Street 1:14335 SW 120TH ST
Practice Address - Street 2:SUITE # 113
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7294
Practice Address - Country:US
Practice Address - Phone:305-382-6968
Practice Address - Fax:305-397-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 3078225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty