| Family Rehab,inc. | |
|
8672 Sw 40 Street Suite # 202 Miami FL 33155 | |
| (305) 225-6266 | |
| (305) 225-6296 |
| Full Name | Family Rehab,inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8672 Sw 40 Street Suite # 202, Miami, Florida |
| Authorized Official Name and Position | Inti Fernandez (PRESIDENT) |
| Authorized Official Contact | 3052256266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Rehab,inc. 8672 Sw 40 Street Suite # 202 Miami FL 33155 Ph: (305) 225-6266 | Family Rehab,inc. 8672 Sw 40 Street Suite # 202 Miami FL 33155 Ph: (305) 225-6266 |
| NPI Number | 1134452329 |
|---|---|
| Provider Enumeration Date | 09/07/2009 |
| Last Update Date | 11/06/2012 |
| Medicare PECOS PAC ID | 2163805110 |
|---|---|
| Medicare Enrollment ID | O20220824000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134452329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME97323 (Florida) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Inti Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659461101 PECOS PAC ID: 6406857481 Enrollment ID: I20220903000432 |
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