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NPI Code Detail

MEDICARE: H2 REHABILITATION SERVICES OF FLORIDA LLC

MEDICARE: H2 REHABILITATION SERVICES OF FLORIDA 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
1261QR0400XRehabilitation Clinic/Center

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 : 1447203948
Entity Type Code : Organization
Provider Name (Legal Business Name) : H2 REHABILITATION SERVICES OF FLORIDA LLC
Provider Business Mailing Address
First Line : PO BOX 932184
Second Line :
City : ATLANTA
State : GA
Zip : 31193-2184
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 96279 BRADY POINT RD
Second Line : SUITE B
City : FERNANDINA BEACH
State : FL
Zip : 32034-7076
Country : US
Telephone Number : 904-261-7878
Fax Number : 904-261-8466
Authorized Official
Title or Position : VICE PRESIDENT
Name : AMANDA STREETER
Credential :
Telephone Number : 800-699-9395
Provider Enumeration Date : 05/18/2006
Last Update Date : 11/19/2023

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