| Advanced Rehab Center Inc | |
|
4401 S Hopkins Ave, Titusville, FL 32780-6679 | |
| (321) 383-0889 | |
| (321) 383-0898 |
| Full Name | Advanced Rehab Center Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4401 S Hopkins Ave, Titusville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730295247 | NPI | - | NPPES |
| 16170.1 | Other | FL | HEALTH FIRST HEALTH PLAN |
| Y083U | Other | FL | BCBSF |
| 9407570 | Other | FL | PRIVATE HEALTH CARE |
| 23906 | Other | FL | SOUTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT10247 (Florida) | Primary |
| Provider Name | Ehab L Boulos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629184122 PECOS PAC ID: 6608895958 Enrollment ID: I20051116000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Rehab Center Inc 4401 S Hopkins Ave, Titusville, FL 32780-6679 Ph: (321) 383-0889 | Advanced Rehab Center Inc 4401 S Hopkins Ave, Titusville, FL 32780-6679 Ph: (321) 383-0889 |
Coast Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 N. Washington Ave, Ste 107, Titusville, FL 32796 Phone: 321-269-0800 Fax: 321-383-0404 | |
Play Move Grow Pediatric Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2539 Norma St, Titusville, FL 32780 Phone: 321-446-0064 | |
Tamera Pope, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-5720 | |
Yamilet Caridad Santiago, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2210 Cheney Hwy, Titusville, FL 32780 Phone: 321-268-6200 | |
Karla Acevedo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4989 S Washington Ave, Titusville, FL 32780 Phone: 321-383-9606 | |
Mallikarjuna Prasad Suryamoni, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1550 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-2200 | |
Mrs. Joy Jennifer Grove, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-2200 |