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NPI Code Detail

MEDICARE: TACTICAL REHABILITATION INC

MEDICARE: TACTICAL REHABILITATION 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
1332BC3200XCustomized Equipment (DME)
2225000000XOrthotic Fitter
3332BX2000XOxygen Equipment & Supplies (DME)
4335E00000XProsthetic/Orthotic Supplier
5332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1568869766
Entity Type Code : Organization
Provider Name (Legal Business Name) : TACTICAL REHABILITATION INC
Provider Business Mailing Address
First Line : 86 43RD CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32968-2372
Country : US
Telephone Number : 858-254-7395
Fax Number : 772-978-0110
Provider Business Practice Location Address
First Line : 2040 WILMINGTON HWY
Second Line : SUITE 3
City : JACKSONVILLE
State : NC
Zip : 28540-3121
Country : US
Telephone Number : 910-333-0396
Fax Number : 910-238-2741
Authorized Official
Title or Position : CFO/CLO
Name : MRS. KAREN C LYONS
Credential :
Telephone Number : 423-262-9722
Provider Enumeration Date : 12/03/2014
Last Update Date : 03/15/2026

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Directions to “TACTICAL REHABILITATION INC ” Practice Location

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