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NPI Code Detail

MEDICARE: FLORIDA ORTHOPEDIC AND REHAB LLC

MEDICARE: FLORIDA ORTHOPEDIC AND REHAB LLC
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
1207X00000XOrthopaedic Surgery PhysicianME99605FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306123021
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA ORTHOPEDIC AND REHAB LLC
Provider Business Mailing Address
First Line : 1925 DON WICKHAM DR
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1915
Country : US
Telephone Number : 352-404-8956
Fax Number : 352-404-8958
Provider Business Practice Location Address
First Line : 1925 DON WICKHAM DR
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1915
Country : US
Telephone Number : 352-404-8956
Fax Number : 352-404-8958
Authorized Official
Title or Position : PHYSICIAN
Name : DR. AMIT B VARMA
Credential : M.D
Telephone Number : 352-404-8956
Provider Enumeration Date : 11/09/2011
Last Update Date : 03/04/2021

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Practice Location Address:
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Directions to “FLORIDA ORTHOPEDIC AND REHAB LLC ” Practice Location

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