Healthcare Provider Details

I. General information

NPI: 1407772361
Provider Name (Legal Business Name): REHABCARE GROUP EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 JOACHIM DR
GULF BREEZE FL
32561-4474
US

IV. Provider business mailing address

PO BOX 7412585
CHICAGO IL
60674-2526
US

V. Phone/Fax

Practice location:
  • Phone: 850-934-1018
  • Fax: 847-386-5196
Mailing address:
  • Phone: 678-491-6692
  • Fax: 847-386-5196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: ANNA GARDINA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 847-441-5593