Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Rehab Clinic of Broward LLC

Organization Family Medicine Physician · NPI 1891703351

Medical Rehab Clinic of Broward LLC is a Family Medicine Physician in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1528 NE 4th Ave
Fort Lauderdale, FL 33304-1036
Phone: (954) 467-8855
Fax: (954) 467-8857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS8590 (FL)

Record details

NPI number1891703351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Richard — Medical Director · (954) 467-8855
Other names Medical Rehab Clinic Of Broward
NPI enumeratedAugust 3, 2006
Last updated in NPPESNovember 19, 2012
Mailing address1528 Ne 4th Ave, Fort Lauderdale, FL 33304-1036

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