Excell Rehab

LBN: Maxider Corporation
Excell Rehab is an health care organization with primary practice located at 389 Commercial Court Suite C, Venice FL 34292. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Maxider Corporation can be contacted via phone (941) 488-6600, or through Derboghossian, Pablo Edgardo via phone (941) 488-6600.

Contact Information

Primary practice address
389 Commercial Court Suite C Venice FL 34292
Phone: (941) 488-6600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derboghossian, Pablo Edgardo
Phone: (941) 488-6600

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT13467 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT13467 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT13467 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT13467 Florida

Profile Details

NPI number 1780712539
LBN Legal business name Maxider Corporation
DBA Doing business as Excell Rehab
Authorized official Derboghossian, Pablo Edgardo
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780712539 NPPES
Florida Other 7042130 AETNA NUMBER
Florida Other CG9065 AETNA NUMBER
Florida Other Y903S AETNA NUMBER

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