Organization · Type 2 NPI

ST Johns Rehabilitation Hospital and Nursing Center Inc

Rehabilitation Hospital · Lauderdale Lakes, FL

NPI number 1124016688 Active

Practice location

3487 NW 30th St
Lauderdale Lakes, FL 33311-1103

Fax (954) 485-4023

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	FL4478 (FL)
Rehabilitation Hospital Primary	283X00000X	FL4478 (FL)

Rehabilitation Hospital: A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

8 other providers at this address

NPI record

NPI: 1124016688
Entity type: Organization (Type 2)
Issued: Oct 10, 2005
Last updated: Jan 30, 2020
Status: Active

Other names

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St. Anthony's Rehabilitation Hospital · doing business as
St. Anthony's Rehabilitation Hospital · doing business as

Authorized official

Jaime Gonzalez
Regional Dir. Hospital Operations
(954) 739-6233

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124016688

ST Johns Rehabilitation Hospital and Nursing Center Inc's National Provider Identifier is 1124016688, issued on Oct 10, 2005. The primary taxonomy on file is Rehabilitation Hospital (283X00000X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Jan 30, 2020.