Healthcare Provider Details

I. General information

NPI: 1730044942
Provider Name (Legal Business Name): M & M REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13119 PROFESSIONAL DR STE 100
JACKSONVILLE FL
32225-6150
US

IV. Provider business mailing address

2300 SE 17TH ST STE 401
OCALA FL
34471-9140
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-3207
  • Fax:
Mailing address:
  • Phone: 352-351-3207
  • Fax: 352-351-3267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: STACEY SMITH
Title or Position: BUSINESS MANAGER
Credential:
Phone: 352-351-3207