Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Medical Rehab Clinic of Broward LLC

Organization Family Medicine Physician · NPI 1891703351

Medical Rehab Clinic of Broward LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (954) 467-8855
Fax: (954) 467-8857
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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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