# ATLANTIC REHABILITATION CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003973967
- **Authorized official:** JOSEPH CAROCCIO (OWNER, MPT)
- **Authorized official phone:** (305) 405-0400

## Contact information

- **Practice address:** 11870 W STATE ROAD 84 STE C3, DAVIE, FL 33325-3811
- **Practice address phone:** (954) 474-3611
- **Practice address fax:** (954) 474-3613
- **Mailing address:** 16249 BISCAYNE BLVD, AVENTURA, FL 33160-4300
- **Mailing address phone:** (305) 405-0400
- **Mailing address fax:** (305) 405-0415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 22768 | FL | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 06/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Y918T | BLUE CROSS BLUE SHEILD | FL |