EVOLUTION REHAB GROUP LLC


Address: 4705 N Federal Hwy, Boca Raton, FL 33431-5135
Phone: 5619002423

EVOLUTION REHAB GROUP LLC (NPI# 1871125799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871125799
Entity Type Organization
Organization Name EVOLUTION REHAB GROUP LLC
Practice Address 4705 N Federal Hwy
Boca Raton
FL 33431-5135
Mailing Address 8135 Emerald Winds Cir
Boynton Beach
FL 33473-7837
Practice Telephone 5619002423
Practice Fax Number 5616003011
Mailing Telephone 5616854444
Enumeration Date 2020-02-08
Last Update Date 2020-02-18
Authorized Official Name DR. BENJAMIN M GALIN (ADMINISTRATOR)
Authorized Official Telephone 5619002423
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Office Location

Street Address 4705 N FEDERAL HWY
City BOCA RATON
State FL
Zip Code 33431-5135

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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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Competitor

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City BOCA RATON
Zip Code 33431

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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