Greenacres Health & Rehab LLC
Internal Medicine, Sports Medicine in Greenacres, FL. Organization (NPI-2).
NPI number1164033718
StatusActive
Last updated in NPPESAug 16, 2020
Details
- NPI
- 1164033718
- Entity type
- Organization (NPI-2)
- Legal business name
- Greenacres Health & Rehab LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2020
- Certification date
- Aug 16, 2020
- Last updated
- Aug 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RS0010X | Internal Medicine, Sports Medicine | – | – | Yes |
Practice location
4010 S 57th Ave Ste 101Greenacres, FL 33463-4301
Phone 561-964-9331
Mailing address
4010 S 57th Ave Ste 101Greenacres, FL 33463-4301
Phone 561-964-9331
Authorized official
John Deluca
Mgr
5619649331
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