Provider Demographics
NPI:1740421627
Name:AMERI REHAB LLC.
Entity type:Organization
Organization Name:AMERI REHAB LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:GALANG
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-374-9945
Mailing Address - Street 1:3601 W KENNEDY BLVD
Mailing Address - Street 2:SUITE E.
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2850
Mailing Address - Country:US
Mailing Address - Phone:813-374-9945
Mailing Address - Fax:813-374-9946
Practice Address - Street 1:3601 W KENNEDY BLVD
Practice Address - Street 2:SUITE E.
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2850
Practice Address - Country:US
Practice Address - Phone:813-374-9945
Practice Address - Fax:813-374-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation