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

Souffrantmd Rehabmed Consultants PA

Organization Physical Medicine & Rehabilitation Physician · NPI 1790450450

Souffrantmd Rehabmed Consultants PA is a Physical Medicine & Rehabilitation Physician in West Melbourne, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2795 W New Haven Ave
West Melbourne, FL 32904-3705
Phone: (321) 622-8626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1790450450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Souffrant — Md · (440) 465-9363
NPI enumeratedAugust 13, 2021
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address629 Hummingbird Dr, Indialantic, FL 32903-4772

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