Healthcare Provider Details

I. General information

NPI: 1154757342
Provider Name (Legal Business Name): MOBILITY REHABILITATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 04/29/2020
Certification Date: 04/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 8TH ST
CLERMONT FL
34711-2159
US

IV. Provider business mailing address

PO BOX 135366
CLERMONT FL
34713-5366
US

V. Phone/Fax

Practice location:
  • Phone: 352-243-9341
  • Fax: 352-242-4766
Mailing address:
  • Phone: 352-243-9341
  • Fax: 352-242-4766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. LUKE T KRON
Title or Position: PRESIDENT
Credential: DPT
Phone: 352-243-9341