Organization Active NPI

South Florida Rehab Center of Deerfield Beach

  • Rehabilitation Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1790017366
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MM24255 Issued in FL
Legal business name
SOUTH FLORIDA REHAB CENTER OF DEERFIELD BEACH
Practice address
816 SE 9TH St Ste 2A2B
Deerfield Beach, FL 33441-5637
Phone
(954) 420-9499
Fax
(954) 420-9520
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Andrew Andonov, CD
Title
President
Phone
(954) 420-9499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MM24255 FL Primary

Addresses

Primary practice location

816 SE 9TH St Ste 2A2B
Deerfield Beach, FL 33441-5637

Mailing address

816 SE 9TH St Ste 2A2B
Deerfield Beach, FL 33441-5637
Phone (954) 420-9499

National Provider Directory

National Provider Directory

Locations

816 SE 9th St
Ste 2A
Deerfield Beach, FL 33441
Phone (954) 420-9499

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1790017366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 SE 9TH ST STE 2A2B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415637",
            "telephone_number": "954-420-9499",
            "fax_number": "954-420-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 SE 9TH ST STE 2A2B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415637",
            "telephone_number": "954-420-9499",
            "fax_number": "954-420-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA REHAB CENTER OF DEERFIELD BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "ANDONOV",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-420-9499",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MM24255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.