Organization
ATLANTIC REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CAROCCIO (OWNER, MPT)
(305) 405-0400
Entity
Organization
Contact information
Practice address
11870 W STATE ROAD 84 STE C3, DAVIE, FL 33325-3811
(954) 474-3611
(954) 474-3613
Mailing address
16249 BISCAYNE BLVD, AVENTURA, FL 33160-4300
(305) 405-0400
(305) 405-0415
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
22768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y918T
BLUE CROSS BLUE SHEILD
FL
Enumeration date
01/02/2007
Last updated
06/18/2024
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