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

Physical Medicine and Rehabilitation of SE Florida Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1053728287

Physical Medicine and Rehabilitation of SE Florida Inc is a Physical Medicine & Rehabilitation Physician in Miramar, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2096 SW 163rd Ave
Miramar, FL 33027-4455
Phone: (954) 431-8022
Fax: (954) 431-8078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence ME97569 (FL)

Record details

NPI number1053728287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Gaus — President · (954) 644-2234
NPI enumeratedJuly 21, 2014
Last updated in NPPESJuly 21, 2014
Mailing address2096 Sw 163rd Ave, Miramar, FL 33027-4455

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