Provider Demographics
NPI:1184075764
Name:REHAB & THERAPY WELLNESS OF SOUTH FLORIDA LLC
Entity type:Organization
Organization Name:REHAB & THERAPY WELLNESS OF SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-262-2600
Mailing Address - Street 1:9600 SW 8TH ST STE 38
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2950
Mailing Address - Country:US
Mailing Address - Phone:786-313-3283
Mailing Address - Fax:305-200-5934
Practice Address - Street 1:9600 SW 8TH ST STE 38
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2950
Practice Address - Country:US
Practice Address - Phone:786-313-3283
Practice Address - Fax:305-200-5934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10634208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty