Provider Demographics
NPI:1649525478
Name:A & J REHABILITATION CENTER, INC.
Entity type:Organization
Organization Name:A & J REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAFFETONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-644-4955
Mailing Address - Street 1:2128 W FLAGLER ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1687
Mailing Address - Country:US
Mailing Address - Phone:305-644-4955
Mailing Address - Fax:305-644-4956
Practice Address - Street 1:2128 W FLAGLER ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1687
Practice Address - Country:US
Practice Address - Phone:305-644-4955
Practice Address - Fax:305-644-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy