Organization Active NPI

Physicians for Quality Healthcare, Inc.

Doing business as Physicians Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
National Provider Identifier
1023433984
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSICIANS FOR QUALITY HEALTHCARE, INC.
Doing business as
Physicians Rehabilitation
Practice address
6444 Beach Blvd Ste 200
Jacksonville, FL 32216-2891
Phone
(239) 768-6396
Fax
(239) 204-3000
NPI assigned
Feb 28, 2014
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIANS FOR QUALITY HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. George Ghanem
Title
Ceo
Phone
(239) 768-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

6444 Beach Blvd Ste 200
Jacksonville, FL 32216-2891

Mailing address

6150 Diamond Centre CT
BLDG 100
Fort Myers, FL 33912
Phone (239) 768-6396

Other practice location 1

3380 Tamiami Trl Ste C
Port Charlotte, FL 33952-8156
Phone (239) 768-6396

Other names 1

  • Physicians Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Part of
Physicians for Quality Healthcareinc

Locations

6444 Beach Blvd
Ste 200
Jacksonville, FL 32216

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1023433984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "BLDG 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-768-6396",
            "fax_number": "239-204-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 BEACH BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162891",
            "telephone_number": "239-768-6396",
            "fax_number": "239-204-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3380 Tamiami Trl Ste C",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528156",
            "country_code": "US",
            "telephone_number": "239-768-6396",
            "fax_number": "239-204-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS FOR QUALITY HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS FOR QUALITY HEALTHCARE, INC.",
        "enumeration_date": "2014-02-28",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-768-6396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.