Physical Medicine and Rehabilitation of S.E. Florida Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME97569 Issued in FL

Legal business name

PHYSICAL MEDICINE AND REHABILITATION OF S.E. FLORIDA INC

Practice address

2096 SW 163Rd Ave
Miramar, FL 33027-4455

Phone

(954) 431-8022

Fax

(954) 431-8078

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Gaus

Title

President

Phone

(954) 644-2234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1053728287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 SW 163RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274455",
            "telephone_number": "954-431-8022",
            "fax_number": "954-431-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 SW 163RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274455",
            "telephone_number": "954-431-8022",
            "fax_number": "954-431-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND REHABILITATION OF S.E. FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "GAUS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-644-2234",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME97569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillcare LLC
• Lisa Phillips, LCSW
• Tamika Phillips
• John Tassy Philord, ARNP, NP-C
• Phoenix Clinic Inc of Broward
• Physical Therapy Assoc of Miramar
• Physical Therapy Corp
• Physical Therapy Solutions of South Florida Inc.
• Physician Care Network, LLC
• Physicians at Home

• Physical Medicine & Rehabilitation Physician in Miramar, FL
• Providers in Miramar, 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 Jul 21, 2014; 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.