Innovative Medical Rehab Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME32051 Issued in FL

Legal business name

INNOVATIVE MEDICAL REHAB CENTER

Practice address

3960 N Andrews Ave
Oakland Park, FL 33309-5240

Phone

(954) 533-5060

Fax

(754) 200-5416

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Louis Robinson

Title

Director

Phone

(954) 533-5060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1043657109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 N ANDREWS AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095240",
            "telephone_number": "954-533-5060",
            "fax_number": "754-200-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 N ANDREWS AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095240",
            "telephone_number": "954-533-5060",
            "fax_number": "754-200-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-533-5060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME32051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.