Basic Information
Provider Information
NPI: 1922345404
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERLI REHABILITATION CENTER CORP
LastName:  
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MiddleName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 917 SW 87TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331743206
CountryCode: US
TelephoneNumber: 3052663903
FaxNumber: 3052664749
Practice Location
Address1: 917 SW 87TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331743206
CountryCode: US
TelephoneNumber: 3052663903
FaxNumber: 3052664749
Other Information
ProviderEnumerationDate: 01/03/2013
LastUpdateDate: 01/03/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LLANES
AuthorizedOfficialFirstName: NAIVI
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OFFICE MANAGER
AuthorizedOfficialTelephone: 3052663903
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QP2000XHCC10352FLY Ambulatory Health Care FacilitiesClinic/CenterPhysical Therapy

No ID Information.


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