Southern Rehabilitation Group Llc

LBN: Southern Rehabilitation Group Llc
Southern Rehabilitation Group Llc is an health care organization with primary practice located at 6447 Miami Lakes Dr E Ste 200E , Miami Lakes FL 33014-2706. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Southern Rehabilitation Group Llc can be contacted via phone (786) 319-0748, or through Blanco Lezcano, Vivian via phone (786) 319-0748.

Contact Information

Primary practice address
6447 Miami Lakes Dr E Ste 200E Miami Lakes FL 33014-2706
Phone: (786) 319-0748
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blanco Lezcano, Vivian LMHC
Phone: (786) 319-0748

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1104489079
LBN Legal business name Southern Rehabilitation Group Llc
DBA Doing business as
Authorized official Blanco Lezcano, Vivian LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated Apr 17th, 2019 - about 7 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 1104489079 NPPES
Florida MEDICAID 747907

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