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NPI Code Detail

MEDICARE: COLUMBUS HEALTH CARE

MEDICARE: COLUMBUS HEALTH CARE
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
1261QR0400XRehabilitation Clinic/CenterMM24293FL

General Provider Information

NPI Number : 1265755656
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS HEALTH CARE
Provider Business Mailing Address
First Line : 3434 W COLUMBUS DR STE 204
Second Line :
City : TAMPA
State : FL
Zip : 33607-1858
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3434 W COLUMBUS DR STE 204
Second Line :
City : TAMPA
State : FL
Zip : 33607-1858
Country : US
Telephone Number : 813-872-7120
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : AUGUSTO M PERNIA
Credential :
Telephone Number : 813-872-7120
Provider Enumeration Date : 03/12/2010
Last Update Date : 03/12/2010

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Directions to “COLUMBUS HEALTH CARE ” Practice Location

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