Provider Demographics
NPI:1174757728
Name:G & G REHAB CENTER CORP
Entity type:Organization
Organization Name:G & G REHAB CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-599-9927
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:SUITE 332
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:305-599-9927
Mailing Address - Fax:305-599-9928
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 332
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:305-599-9927
Practice Address - Fax:305-599-9928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty