Provider Demographics
NPI:1952605412
Name:UNITED HEALTH MEDICAL & REHAB
Entity Type:Organization
Organization Name:UNITED HEALTH MEDICAL & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-731-2228
Mailing Address - Street 1:3890 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3319
Mailing Address - Country:US
Mailing Address - Phone:954-731-2228
Mailing Address - Fax:954-731-2298
Practice Address - Street 1:3890 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 217
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33309-3319
Practice Address - Country:US
Practice Address - Phone:954-731-2228
Practice Address - Fax:954-731-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty