MEDICARE: FAMILY REHABILITATION GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician
2	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1134357502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY REHABILITATION GROUP, INC.

Provider Business Mailing Address
First Line	:	7819 N DALE MABRY HWY STE 212
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3221
Country	:	US
Telephone Number	:	813-443-5111
Fax Number	:	813-443-5112

Provider Business Practice Location Address
First Line	:	7819 N DALE MABRY HWY STE 212
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3221
Country	:	US
Telephone Number	:	813-443-5111
Fax Number	:	813-443-5112

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. SILVIO TORRES
Credential	:
Telephone Number	:	813-443-5111

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	06/24/2009

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