# SOUTH FLORIDA NEURO REHAB, LLC

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

## Provider details

- **NPI number:** 1629854799
- **Authorized official:** LAUREN PROENCA PT, DPT, MSCS (OWNER)
- **Authorized official phone:** (561) 662-5863

## Contact information

- **Practice address:** 8645 N MILITARY TRL STE 401, WEST PALM BEACH, FL 33410-6295
- **Practice address phone:** (561) 320-2702
- **Mailing address:** 8645 N MILITARY TRL STE 401, WEST PALM BEACH, FL 33410-6295
- **Mailing address phone:** (561) 320-2707
- **Mailing address fax:** (561) 467-4179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 10/30/2025