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SOUTHERN REHABILITATION GROUP LLC
NPI 1104489079
Clinic/Center - Developmental Disabilities in Miami Lakes, FL

Active since April 17, 2019
6447 MIAMI LAKES DR E STE 200E, MIAMI LAKES, FL 33014(786) 319-0748 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Rehabilitation Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN REHABILITATION GROUP LLC (NPI 1104489079) is a healthcare organization registered as a developmental disabilities in Miami Lakes, Florida and active in the NPI registry since April 2019. The organization lists Vivian Blanco Lezcano, Owner, as its authorized official.

NPPES Registry Identity

NPI1104489079
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSOUTHERN REHABILITATION GROUP LLC
Location Address6447 MIAMI LAKES DR E STE 200EMiami Lakes, FL 33014-2706
Mailing Address6447 Miami Lakes Dr E Ste 200eMiami Lakes, FL 33014-2706 · (786) 319-0748
Phone(786) 319-0748
Organization SubpartNo
Authorized OfficialVivian Blanco LezcanoOwner · (786) 319-0748
Enumeration DateApril 17, 2019
✔ NPI 1104489079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
6447 MIAMI LAKES DR E STE 200E, Miami Lakes, FL 33014
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Other Identifiers 1

Medicaid747907FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Rehabilitation Group LLC's NPI number?

The NPI number for Southern Rehabilitation Group LLC is 1104489079. It was assigned to this organization in the NPPES registry on April 17, 2019.

Where is Southern Rehabilitation Group LLC located?

Southern Rehabilitation Group LLC is located at 6447 Miami Lakes Dr E Ste 200E, Miami Lakes, FL 33014. The listed phone number is (786) 319-0748.

What is Southern Rehabilitation Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Southern Rehabilitation Group LLC was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.