Firstlantic Rehabilitation, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FIRSTLANTIC REHABILITATION, INC

Practice address

3201 W Commercial Blvd Ste 220
Fort Lauderdale, FL 33309-3452

Phone

(954) 382-0300

Fax

(954) 382-0377

NPI assigned

Aug 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bart Delsing

Title

Coo

Phone

(954) 382-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962419077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD STE 220",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093452",
            "telephone_number": "954-382-0300",
            "fax_number": "954-382-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD STE 220",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093452",
            "telephone_number": "954-382-0300",
            "fax_number": "954-382-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTLANTIC REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELSING",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-382-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.