Provider Demographics
NPI:1780744003
Name:BALKAN REHABILITATION SERVICES
Entity type:Organization
Organization Name:BALKAN REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALKANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-971-6883
Mailing Address - Street 1:11648 QUAIL ROOST DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6550
Mailing Address - Country:US
Mailing Address - Phone:305-971-6883
Mailing Address - Fax:305-971-8122
Practice Address - Street 1:11648 QUAIL ROOST DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-6550
Practice Address - Country:US
Practice Address - Phone:305-971-6883
Practice Address - Fax:305-971-8122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9386225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3734Medicare ID - Type UnspecifiedFLORIDA MEDICARE