Provider Demographics
NPI:1134117112
Name:GABLES REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:GABLES REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:MESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-644-4201
Mailing Address - Street 1:721 NW 21ST CT
Mailing Address - Street 2:STE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3434
Mailing Address - Country:US
Mailing Address - Phone:305-644-4201
Mailing Address - Fax:305-644-3339
Practice Address - Street 1:721 NW 21ST CT
Practice Address - Street 2:STE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3434
Practice Address - Country:US
Practice Address - Phone:305-644-4201
Practice Address - Fax:305-644-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO5000132512261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686779Medicare Oscar/Certification