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Contact Information

PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC
6175 SW 192ND AVE
PEMBROKE PINES, FL33332
 Phone: 919-260-8760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC

NPI # 1982984704
LBN Legal business name PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC
Authorized official GREGORY SAMSON - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2011
Last updated 08/24/2011 - About 15 years ago
Identifiers
FL License # ME 99900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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