Organization
COMPLETE REHAB & MEDICAL CENTER OF PLANTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DAVID BAUER D.O (PRESIDENT)
(954) 818-8283
Entity
Organization
Contact information
Practice address
10017 CLEARY BLVD, PLANTATION, FL 33324-1000
(954) 916-1133
(954) 916-0096
Mailing address
PO BOX 741235, BOYNTON BEACH, FL 33474-1235
(954) 916-1133
(954) 916-0096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH7646
FL
111NR0400X
Rehabilitation Chiropractor
Primary
CH7924
FL
261QP2000X
Physical Therapy Clinic/Center
MA4021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487877528
—
FL
05
—
1568668705
—
FL
05
—
1699971895
—
FL
Enumeration date
01/21/2008
Last updated
01/21/2008
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