Florida Fall Prevention and Rehabilitation LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L13000085254 Issued in FL

Legal business name

FLORIDA FALL PREVENTION AND REHABILITATION LLC

Practice address

850 Loggerhead Island Dr
Satellite Beach, FL 32937-3845

Phone

(321) 508-3250

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark Alan Brimer, PH,D,, PT

Title

Owner

Phone

(321) 508-3250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1992144141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 LOGGERHEAD ISLAND DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373845",
            "telephone_number": "321-508-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LOGGERHEAD ISLAND DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373845",
            "telephone_number": "321-508-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FALL PREVENTION AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "BRIMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-508-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH,D,, PT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "L13000085254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James V Eaton, LMHC
• Barbara Ann Edwards, APRN
• Kehinde Ekwotafia
• Courtney Eliott, MA42392
• Candace Ferguson, NP
• Florida Psychological Specialists
• Jasmine Foster
• From the Heart Florida
• From the Heart Florida LLC
• Melanie Fusco, CRNA

• In Home Supportive Care Agency in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.