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NPI Code Detail

MEDICARE: NEULIFE REHABILITATION OF FLORIDA, INC.

MEDICARE: NEULIFE REHABILITATION OF FLORIDA, 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
12081P0301XBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
2261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
3310400000XAssisted Living Facility
4313M00000XNursing Facility/Intermediate Care Facility
5320700000XPhysical Disabilities Residential Treatment Facility
6385H00000XRespite Care
7283X00000XRehabilitation Hospital

General Provider Information

NPI Number : 1548988447
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEULIFE REHABILITATION OF FLORIDA, INC.
Provider Business Mailing Address
First Line : 2725 ROBIE AVE
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-9619
Country : US
Telephone Number : 502-558-8312
Fax Number :
Provider Business Practice Location Address
First Line : 2725 ROBIE AVE
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-9619
Country : US
Telephone Number : 800-626-3876
Fax Number :
Authorized Official
Title or Position : CEO
Name : PATRICK G KELLEY
Credential :
Telephone Number : 502-558-8312
Provider Enumeration Date : 08/16/2022
Last Update Date : 03/19/2025

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